[abstract] CEREBRAL GAS EMBOLUS FROM A CENTRAL LINE - CLASSIC PRESENTATION WITH DELAYED DIAGNOSIS.

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[abstract] CEREBRAL GAS EMBOLUS FROM A CENTRAL LINE - CLASSIC PRESENTATION WITH DELAYED DIAGNOSIS.

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Title: [abstract] CEREBRAL GAS EMBOLUS FROM A CENTRAL LINE - CLASSIC PRESENTATION WITH DELAYED DIAGNOSIS.
Author: Youn, BA; Kozikowski, R
Abstract: Hyperbaric Oxygen (HBO) is almost always used to treat gas embolism from decompression injury. HBO seems infrequently used to treat gas embolism from "iatrogenic" causes especially when the source is from the right heart. Early recognition and prompt HBO needs to be stressed for these potentially fatal complications. We report a case of a 41 year old IDDM male who was receiving home TPN for a pancreatic pseudocyst. While his wife was flushing his TPN solution she noted resistance and forcefully fractured the IV line. The patient immediately lost consciousness for approximately 15 minutes. Then he developed marked motor weakness (distal greater than proximal). Upon initial evaluation at an emergency room, the diagnosis of air embolus was suspected but felt to be unlikely based upon a normal chest radiograph and normal head CT scan. His TPN line was changed. He improved neurologically but still had significant impairment. Hyperglycemia was found on routine lab and was felt to be the cause of his neurologic findings. The patient was transferred to his primary doctor's hospital where he was admitted for observation. The following morning his neurologic exam remained abnormal. Blood glucose was now normal. The housestaff questioned if the patient had a paradoxical air embolus. This led to transfer and HBO treatment. An MRI was obtained and grossly abnormal. The patient improved with HBO and was discharged home with only subtle distal motor weakness.
Description: Abstract of the Undersea and Hyperbaric Medical Society, Inc. Joint Annual Scientific Meeting with the International Congress for Hyperbaric Medicine and the European Undersea Biomedical Society held 11-18 August 1990. Okura Hotel, Amsterdam, The Netherlands (http://www.uhms.org)
URI: http://archive.rubicon-foundation.org/7087
Date: 1990

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  • UHMS Meeting Abstracts
    This is a collection of the published abstracts from the Undersea and Hyperbaric Medical Society (UHMS) annual meetings.

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