Unexpected cardiovascular collapse from massive air embolism during endoscopic retrograde cholangiopancreatography.

@article{Goins2010UnexpectedCC,
  title={Unexpected cardiovascular collapse from massive air embolism during endoscopic retrograde cholangiopancreatography.},
  author={Kathryn M Goins and Janet M May and Christoph Hucklenbruch and Keith E Littlewood and Danja Strumper Groves},
  journal={Acta anaesthesiologica Scandinavica},
  year={2010},
  volume={54 3},
  pages={385-8}
}
A 72 year-old woman with cholangiocarcinoma presented for endoscopic retrograde cholangio pancreatography (ERCP) for diagnostic intraductal endoscopy under GETA. During the technically difficult procedure the patient became suddenly hypoxic, hypotensive, bradycardic, and progressed to PEA code (ETCO2 5 mmHg). ACLS was initiated. Transesophageal echo demonstrated massive right heart air accumulation; abdominal X-Ray showed air filled bile ducts. Central access was obtained, a pulmonary artery… CONTINUE READING
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