Abstract

Case Report

A witnessed intra-operative blood transfusion-related air embolism under epidural anaesthesia for vesicovaginal fistula repair

Gyadale AN*, Adeyanju BT, Ayegbusi EO, Adeyiolu AT, Olabode AA, Suberu SO and Olajide MA

Published: 21 June, 2022 | Volume 6 - Issue 1 | Pages: 001-003

The transfusion is a normal life-saving procedure conducted commonly by the nurses at the prescription of the attending physician or the emergency physicians. It is generally a safe procedure if guidelines for processing and administering are carefully followed. Blood transfusion is an independent risk factor for morbidity and mortality and major complications arising from transfusion are generally rare. 
We present a case of a mild case of iatrogenic air embolism exacerbated by pressure infusion for a patient who had undergone an exploratory laparotomy for an iatrogenic fistula repair under epidural anesthesia.

Read Full Article HTML DOI: 10.29328/journal.ijcar.1001018 Cite this Article Read Full Article PDF

References

  1. Patil V, Shetmahajan M. Massive transfusion and massive transfusion protocol. Indian J Anaesth. 2014 Sep;58(5):590-5. doi: 10.4103/0019-5049.144662. PMID: 25535421; PMCID: PMC4260305.
  2. Liumbruno GM, Bennardello F, Lattanzio A, Piccoli P, Rossetti G; Italian Society of Transfusion Medicine and Immunohaematology (SIMTI) Working Party. Recommendations for the transfusion management of patients in the peri-operative period. II. The intra-operative period. Blood Transfus. 2011 Apr;9(2):189-217. doi: 10.2450/2011.0075-10. PMID: 21527082; PMCID: PMC3096863.
  3. McCarthy CJ, Behravesh S, Naidu SG, Oklu R. Air Embolism: Practical Tips for Prevention and Treatment. J Clin Med. 2016 Oct 31;5(11):93. doi: 10.3390/jcm5110093. PMID: 27809224; PMCID: PMC5126790.
  4. Maxwell MJ, Wilson MJA. Complications of blood transfusion. Contin Educ Anaesth Crit Care Pain. 2006;6(6):225-229. doi:10.1093/bjaceaccp/mkl053
  5. Michels P, Meyer EC, Brandes IF, Bräuer A. Intraoperative vaskuläre Luftembolie : Evidenz bei Risiko, Diagnostik und Therapie [Intraoperative vascular air embolism : Evidence for risks, diagnostics and treatment]. Anaesthesist. 2021 May;70(5):361-375. German. doi: 10.1007/s00101-020-00894-4. PMID: 33196882.
  6. Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth. 1995 Feb;7(1):89-91. doi: 10.1016/0952-8180(94)00001-k. PMID: 7772368.
  7. Ituk U, Habib AS. Enhanced recovery after cesarean delivery. F1000Res. 2018 Apr 27;7:F1000 Faculty Rev-513. doi: 10.12688/f1000research.13895.1. PMID: 29770203; PMCID: PMC5931266.
  8. Wong SS, Kwaan HC, Ing TS. Venous air embolism related to the use of central catheters revisited: with emphasis on dialysis catheters. Clin Kidney J. 2017 Dec;10(6):797-803. doi: 10.1093/ckj/sfx064. Epub 2017 Jul 28. PMID: 29225809; PMCID: PMC5716215.
  9. Chuang DY, Sundararajan S, Sundararajan VA, Feldman DI, Xiong W. Accidental Air Embolism. Stroke. 2019 Jul;50(7):e183-e186. doi: 10.1161/STROKEAHA.119.025340. Epub 2019 Jun 5. PMID: 31164070.
  10. Kumawat V, Aribandi A. Air Bubbles Produced During Rapid Blood Warming with Inline Blood Warmer Leading to Panic of Air Embolism. Indian J Hematol Blood Transfus. 2017 Jun;33(2):281-282. doi: 10.1007/s12288-016-0741-4. Epub 2016 Nov 3. PMID: 28596667; PMCID: PMC5442066.
  11. Phifer TJ, Bridges M, Conrad SA. The residual central venous catheter track--an occult source of lethal air embolism: case report. J Trauma. 1991 Nov;31(11):1558-60. doi: 10.1097/00005373-199111000-00020. PMID: 1942184.
  12. Kaltenböck F, Fuchs G, Schwarz G. VAE caused by defect central venous catheter in the sitting position. Eur J Anaesthesiol EJA. 2002;19(3)

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