Literature DB >> 15933290

Crisis management during anaesthesia: embolism.

J A Williamson1, S C Helps, R N Westhorpe, P Mackay.   

Abstract

BACKGROUND: Embolism with gas, thrombus, fat, amniotic fluid, or particulate matter may occur suddenly and unexpectedly during anaesthesia, posing a diagnostic and management problem for the anaesthetist.
OBJECTIVES: To examine the role of a previously described core algorithm "COVER ABCD-A SWIFT CHECK" supplemented by a specific sub-algorithm for embolism, in the management of embolism occurring in association with anaesthesia.
METHODS: The potential performance of this structured approach for each of the relevant incidents among the first 4000 reported to the Australian Incident Monitoring Study (AIMS) was compared with the actual management as reported by the anaesthetists involved.
RESULTS: Among the first 4000 incidents reported to AIMS, 38 reports of embolism were found. A sudden fall in end-tidal carbon dioxide and oxygen saturation were the cardinal signs of embolism, each occurring in about two thirds of cases, with hypotension and electrocardiographic changes each occurring in about one third of cases.
CONCLUSION: The potential value of an explicit structured approach to the diagnosis and management of embolism was assessed in the light of AIMS reports. It was considered that, correctly applied, it potentially would have led to earlier recognition of the problem and/or better management in over 40% of cases.

Entities:  

Mesh:

Year:  2005        PMID: 15933290      PMCID: PMC1744015          DOI: 10.1136/qshc.2002.004366

Source DB:  PubMed          Journal:  Qual Saf Health Care        ISSN: 1475-3898


  12 in total

1.  Air embolism during anaesthesia for shoulder arthroscopy.

Authors:  R T Hegde; R N Avatgere
Journal:  Br J Anaesth       Date:  2000-12       Impact factor: 9.166

2.  Patent foramen ovale and decompression sickness in divers.

Authors:  R E Moon; E M Camporesi; J A Kisslo
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3.  Vascular pressures and passage of gas emboli through the pulmonary circulation.

Authors:  B D Butler; J Katz
Journal:  Undersea Biomed Res       Date:  1988-05

4.  The Australian Incident Monitoring Study. Which monitor? An analysis of 2000 incident reports.

Authors:  R K Webb; J H van der Walt; W B Runciman; J A Williamson; J Cockings; W J Russell; S Helps
Journal:  Anaesth Intensive Care       Date:  1993-10       Impact factor: 1.669

5.  Venous air emboli occur during release of positive end-expiratory pressure and repositioning after sitting position surgery.

Authors:  Hubert J Schmitt; Thomas M Hemmerling
Journal:  Anesth Analg       Date:  2002-02       Impact factor: 5.108

6.  Cerebral embolization presenting as delayed, severe obtundation in the postanesthesia care unit after total hip arthroplasty.

Authors:  M C Ott; J F Meschia; D C Mackey; M P Brodersen; C Burger; J D Echols; D S Fenton
Journal:  Mayo Clin Proc       Date:  2000-11       Impact factor: 7.616

7.  Cerebral microembolism diagnosed by transcranial Doppler during total knee arthroplasty: correlation with transesophageal echocardiography.

Authors:  C A Sulek; L K Davies; F K Enneking; P A Gearen; E B Lobato
Journal:  Anesthesiology       Date:  1999-09       Impact factor: 7.892

8.  The Australian Incident Monitoring Study: an analysis of 2000 incident reports.

Authors:  R K Webb; M Currie; C A Morgan; J A Williamson; P Mackay; W J Russell; W B Runciman
Journal:  Anaesth Intensive Care       Date:  1993-10       Impact factor: 1.669

9.  The Australian Incident Monitoring Study. Crisis management--validation of an algorithm by analysis of 2000 incident reports.

Authors:  W B Runciman; R K Webb; I D Klepper; R Lee; J A Williamson; L Barker
Journal:  Anaesth Intensive Care       Date:  1993-10       Impact factor: 1.669

10.  Delayed hyperbaric treatment of cerebral air embolism.

Authors:  H Bitterman; Y Melamed
Journal:  Isr J Med Sci       Date:  1993-01
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  2 in total

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Journal:  Am J Prev Med       Date:  1996 Nov-Dec       Impact factor: 5.043

Review 2.  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

  2 in total

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