Air embolism

Diagnosis and management

Neera Malik, Paul L. Claus, Jeffery E. Illman, Seth J. Kligerman, Michael R. Moynagh, David L. Levin, David A Woodrum, Arvin Arani, Shivaram P. Arunachalam, Philip A Araoz

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Air embolism is an uncommon, but potentially life-threatening event for which prompt diagnosis and management can result in significantly improved patient outcomes. Most air emboli are iatrogenic. Arterial air emboli may occur as a complication from lung biopsy, arterial catheterization or cardiopulmonary bypass. Immediate management includes placing the patient on high-flow oxygen and in the right lateral decubitus position. Venous air emboli may occur during pressurized venous infusions, or catheter manipulation. Immediate management includes placement of the patient on high-flow oxygen and in the left lateral decubitus and/or Trendelenburg position. Hyperbaric oxygen therapy is the definitive treatment which may decrease the size of air emboli by facilitating gas reabsorption, while also improving tissue oxygenation and reducing ischemic reperfusion injury.

Original languageEnglish (US)
Pages (from-to)365-378
Number of pages14
JournalFuture Cardiology
Volume13
Issue number4
DOIs
StatePublished - Jul 1 2017

Fingerprint

Air Embolism
Embolism
Air
Head-Down Tilt
Oxygen
Hyperbaric Oxygenation
Reperfusion Injury
Cardiopulmonary Bypass
Catheterization
Catheters
Gases
Biopsy
Lung
Therapeutics

Keywords

  • air embolism
  • arterial air embolism
  • cardiac catheterization
  • cardiac imaging
  • complications
  • hyperbaric oxygen
  • iatrogenic
  • imaging
  • radiological approaches

ASJC Scopus subject areas

  • Molecular Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Malik, N., Claus, P. L., Illman, J. E., Kligerman, S. J., Moynagh, M. R., Levin, D. L., ... Araoz, P. A. (2017). Air embolism: Diagnosis and management. Future Cardiology, 13(4), 365-378. https://doi.org/10.2217/fca-2017-0015

Air embolism : Diagnosis and management. / Malik, Neera; Claus, Paul L.; Illman, Jeffery E.; Kligerman, Seth J.; Moynagh, Michael R.; Levin, David L.; Woodrum, David A; Arani, Arvin; Arunachalam, Shivaram P.; Araoz, Philip A.

In: Future Cardiology, Vol. 13, No. 4, 01.07.2017, p. 365-378.

Research output: Contribution to journalArticle

Malik, N, Claus, PL, Illman, JE, Kligerman, SJ, Moynagh, MR, Levin, DL, Woodrum, DA, Arani, A, Arunachalam, SP & Araoz, PA 2017, 'Air embolism: Diagnosis and management', Future Cardiology, vol. 13, no. 4, pp. 365-378. https://doi.org/10.2217/fca-2017-0015
Malik N, Claus PL, Illman JE, Kligerman SJ, Moynagh MR, Levin DL et al. Air embolism: Diagnosis and management. Future Cardiology. 2017 Jul 1;13(4):365-378. https://doi.org/10.2217/fca-2017-0015
Malik, Neera ; Claus, Paul L. ; Illman, Jeffery E. ; Kligerman, Seth J. ; Moynagh, Michael R. ; Levin, David L. ; Woodrum, David A ; Arani, Arvin ; Arunachalam, Shivaram P. ; Araoz, Philip A. / Air embolism : Diagnosis and management. In: Future Cardiology. 2017 ; Vol. 13, No. 4. pp. 365-378.
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