Literature DB >> 10692202

Cerebral arterial gas embolism by helium: an unusual case successfully treated with hyperbaric oxygen and lidocaine.

S J Mitchell1, M Benson, L Vadlamudi, P Miller.   

Abstract

A 27-year-old man inhaled helium from an unregulated pressurized cylinder and underwent cerebral arterial gas embolism (CAGE), leaving him blind and with radiologic evidence initially suggesting cortical infarction. There was complete recovery of vision and substantial regression of the radiologic changes after 4 hyperbaric oxygen treatments and a 54-hour lidocaine infusion, which began 6 hours after the accident. This is the second reported case of CAGE occurring by this mechanism and the first case of unequivocal CAGE in which lidocaine has been used as an adjunctive treatment with hyperbaric oxygen.

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Year:  2000        PMID： 10692202     DOI： 10.1016/s0196-0644(00)70086-2

Source DB:  PubMed          Journal:  Ann Emerg Med        ISSN： 0196-0644            Impact factor:   5.721


  9 in total

1.  Intravenous Lidocaine Does Not Improve Neurologic Outcomes after Cardiac Surgery: A Randomized Controlled Trial.

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2.  Increased use of mammography among Hispanic women: baseline results from the NCI Cooperative Group on Cancer Prevention in Hispanic Communities.

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Review 3.  Lignocaine: neuro-protective or wishful thinking?

Authors:  Simon J Mitchell; Alan F Merry
Journal:  J Extra Corpor Technol       Date:  2009-03

4.  Randomized, double-blinded, placebo controlled study of neuroprotection with lidocaine in cardiac surgery.

Authors:  Joseph P Mathew; G Burkhard Mackensen; Barbara Phillips-Bute; Hilary P Grocott; Donald D Glower; Daniel T Laskowitz; James A Blumenthal; Mark F Newman
Journal:  Stroke       Date:  2009-01-22       Impact factor: 7.914

5.  A case of hypoxic encephalopathy induced by the inhalation of helium that resolved with no neurological complications: a case report and analysis of similar cases.

Authors:  Koichiro Ogura; Waka Takahashi; Yasumasa Morita
Journal:  Acute Med Surg       Date:  2019-04-02

6.  Cerebral Arterial Gas Embolism due to Helium Inhalation from a High-Pressure Gas Cylinder.

Authors:  Gabriel Morales; Marie Fiero; Jesselle Albert; Jane Di Gennaro; Anthony Gerbino
Journal:  Case Rep Emerg Med       Date:  2022-03-08

7.  Incidence of venous air embolism during myomectomy: the effect of patient position.

Authors:  Jiwon An; Seo Kyung Shin; Ja-Young Kwon; Ki Jun Kim
Journal:  Yonsei Med J       Date:  2013-01-01       Impact factor: 2.759

Review 8.  Venous air embolism during surgery, especially cesarean delivery.

Authors:  Chang Seok Kim; Jia Liu; Ja-Young Kwon; Seo Kyung Shin; Ki Jun Kim
Journal:  J Korean Med Sci       Date:  2008-10       Impact factor: 2.153

9.  A prospective case series evaluating use of an in-line air detection and purging system to reduce air burden during major surgery.

Authors:  Yussr M Ibrahim; Nicole R Marques; Carlos R Garcia; Michael Salter; Christopher McQuitty; Michael Kinsky; Mindy Juan; Achiau Ludomirsky
Journal:  Perioper Med (Lond)       Date:  2018-11-08
  9 in total

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