Air embolism during lumbar surgery in the prone position

Diving Hyperb Med. 2021 Sep 30;51(3):303-305. doi: 10.28920/dhm51.3.303-305.

Abstract

Only a few clinical cases of cerebral arterial gas embolism during spinal surgery are published. It seems important not to overlook this diagnosis in order to initiate rapid appropriate treatment. This was a suspected case of paradoxical gas embolism revealed postoperatively by neurological deficits and whose recovery was noted during hyperbaric oxygen treatment. Unfortunately, no complementary examination showed gas embolism and only the context, the clinical picture and the case evolution evoke this diagnosis. The diagnostic difficulty in the immediate postoperative period is highlighted.

Keywords: Cerebral arterial gas embolism (CAGE); Anaesthesia; Case reports; Hyperbaric oxygen treatment; Neurosurgery; Surgery.

Publication types

  • Case Reports

MeSH terms

  • Embolism, Air* / diagnostic imaging
  • Embolism, Air* / etiology
  • Embolism, Air* / therapy
  • Humans
  • Hyperbaric Oxygenation*
  • Intracranial Embolism* / diagnostic imaging
  • Intracranial Embolism* / etiology
  • Intracranial Embolism* / therapy
  • Oxygen
  • Patient Positioning
  • Prone Position

Substances

  • Oxygen