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Karaciğerde Hava Embolisi: Nadir Bir Yerleşim Yeri

Year 2019, Volume: 21 Issue: 2, 145 - 147, 30.08.2019
https://doi.org/10.18678/dtfd.573444

Abstract

Hava embolisi nadir görülen ancak yüksek morbidite ve mortalite oranları ile iyi tanınması gereken bir klinik durumdur. Hava embolisi için sensitif erken tanı yöntemleri bulunmaktadır, ancak her zaman bu yöntemlere ulaşmak kolay olmamaktadır. Venöz hava embolisinin saptanması ile birlikte, havanın hızla aspire edilmesi ve yandaş tedavilerin uygulanması ile mortalite ve morbiditede azalma sağlanabilmektedir. Önemli olan erken dönemde embolinin ortaya çıkarabileceği sorunların tanınması ve önlenmeye çalışılmasıdır. Venöz hava embolilerinde, aspire edilen hava miktarı ile mortalite ve morbidite doğru orantılıdır. Burada en önemli yaklaşım hava embolisi gelişimini engellemeye çalışmak ve her zaman gelişebileceğini akılda tutarak olası durumlarda erken tanı koymaktır. Bu olgu sunumunda 51 yaşında kadın hastada postoperatif dönemde hava embolisi tanısı konması ve uygulanan tedaviler sunulmuştur.

References

  • Webber S, Andrzejowski J, Francis G. Gas embolism in anaesthesia. BJA CEPD Reviews. 2002;2(2):53-7.
  • Adornato D, Gildenberg PL, Ferrario CM, Smart J, Frost EA. Pathophysiology of intravenous air embolism in dogs. Anesthesiology. 1978;49(2):120-7.
  • Mirski MA, Lele AV, Fitzsimmons L, Toung TJ. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007;106(1):164-77.
  • Kampen J, Koch A, Struck N. Methodological remarks on transcranial Doppler ultrasonography for PFO detection. Anesthesiology. 2001;95(3):808-9.
  • Hong Y, Xin Y, Yuue F, Qi H, Jun C. Randomized clinical trial comparing the effects of sevoflurane and propofol on carbon dioxide embolism during pneumoperitoneum in laparoscopic hepatectomy. Oncotarget. 2017;8(16):27502-9.
  • Clayman RV, Kavoussi LR, Soper NJ, Dierks SM, Meretyk S, Darcy MD, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146(2):278-82.
  • Dağgülli M, Utanğaç MM, Bozkurt Y, Dede O, Bodakçi MN, Sancaktutar AA, et al. Our laparoscopic radical nephrectomy experiences. Dicle Med J. 2014;41(4):732-7.
  • Gill IS, Clayman RV, Albala DM, Aso Y, Chiu AW, Das S, et al. Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective. Urology. 1998;52(4):566-71.
  • Hulka JF, Levy BS, Parker WH, Phillips JM. Laparoscopic-assisted vaginal hysterectomy: American Association of Gynecologic Laparoscopists’ 1995 membership survey. J Am Assoc Gynecol Laparosc. 1997;4(2):167-71.
  • Topal T, Korkmaz A. Hyperbaric oxygen therapy: medical education. Turkiye Klinikleri J Med Sci. 2008;28(2):206-16.

Air Embolism in Liver: A Rare Location

Year 2019, Volume: 21 Issue: 2, 145 - 147, 30.08.2019
https://doi.org/10.18678/dtfd.573444

Abstract

Air embolism is a rare clinical entity that must be well recognized with high morbidity and mortality rates. Sensitive early diagnosis methods are available for air embolism, but these methods are not always easy to reach. With the detection of venous air embolism, mortality and morbidity can be reduced by rapid aspiration of air and concomitant treatment. It is important to recognize and prevent the problems that embolism may cause in the early period. In venous air embolism, the amount of aspirated air is directly proportional to mortality and morbidity. The most important approach here is to try to prevent the development of air embolism and to make an early diagnosis in possible cases, keeping in mind that it can always develop. In this case report, we present a 51-year-old female patient with the diagnosis of air embolism in the postoperative period and the treatments applied.

References

  • Webber S, Andrzejowski J, Francis G. Gas embolism in anaesthesia. BJA CEPD Reviews. 2002;2(2):53-7.
  • Adornato D, Gildenberg PL, Ferrario CM, Smart J, Frost EA. Pathophysiology of intravenous air embolism in dogs. Anesthesiology. 1978;49(2):120-7.
  • Mirski MA, Lele AV, Fitzsimmons L, Toung TJ. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007;106(1):164-77.
  • Kampen J, Koch A, Struck N. Methodological remarks on transcranial Doppler ultrasonography for PFO detection. Anesthesiology. 2001;95(3):808-9.
  • Hong Y, Xin Y, Yuue F, Qi H, Jun C. Randomized clinical trial comparing the effects of sevoflurane and propofol on carbon dioxide embolism during pneumoperitoneum in laparoscopic hepatectomy. Oncotarget. 2017;8(16):27502-9.
  • Clayman RV, Kavoussi LR, Soper NJ, Dierks SM, Meretyk S, Darcy MD, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146(2):278-82.
  • Dağgülli M, Utanğaç MM, Bozkurt Y, Dede O, Bodakçi MN, Sancaktutar AA, et al. Our laparoscopic radical nephrectomy experiences. Dicle Med J. 2014;41(4):732-7.
  • Gill IS, Clayman RV, Albala DM, Aso Y, Chiu AW, Das S, et al. Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective. Urology. 1998;52(4):566-71.
  • Hulka JF, Levy BS, Parker WH, Phillips JM. Laparoscopic-assisted vaginal hysterectomy: American Association of Gynecologic Laparoscopists’ 1995 membership survey. J Am Assoc Gynecol Laparosc. 1997;4(2):167-71.
  • Topal T, Korkmaz A. Hyperbaric oxygen therapy: medical education. Turkiye Klinikleri J Med Sci. 2008;28(2):206-16.
There are 10 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Gülçin Patmano 0000-0001-9138-035X

Remzi Salar This is me 0000-0002-5078-9367

Ahmet Kaya This is me 0000-0002-8751-5298

Publication Date August 30, 2019
Submission Date June 2, 2019
Published in Issue Year 2019 Volume: 21 Issue: 2

Cite

APA Patmano, G., Salar, R., & Kaya, A. (2019). Air Embolism in Liver: A Rare Location. Duzce Medical Journal, 21(2), 145-147. https://doi.org/10.18678/dtfd.573444
AMA Patmano G, Salar R, Kaya A. Air Embolism in Liver: A Rare Location. Duzce Med J. August 2019;21(2):145-147. doi:10.18678/dtfd.573444
Chicago Patmano, Gülçin, Remzi Salar, and Ahmet Kaya. “Air Embolism in Liver: A Rare Location”. Duzce Medical Journal 21, no. 2 (August 2019): 145-47. https://doi.org/10.18678/dtfd.573444.
EndNote Patmano G, Salar R, Kaya A (August 1, 2019) Air Embolism in Liver: A Rare Location. Duzce Medical Journal 21 2 145–147.
IEEE G. Patmano, R. Salar, and A. Kaya, “Air Embolism in Liver: A Rare Location”, Duzce Med J, vol. 21, no. 2, pp. 145–147, 2019, doi: 10.18678/dtfd.573444.
ISNAD Patmano, Gülçin et al. “Air Embolism in Liver: A Rare Location”. Duzce Medical Journal 21/2 (August 2019), 145-147. https://doi.org/10.18678/dtfd.573444.
JAMA Patmano G, Salar R, Kaya A. Air Embolism in Liver: A Rare Location. Duzce Med J. 2019;21:145–147.
MLA Patmano, Gülçin et al. “Air Embolism in Liver: A Rare Location”. Duzce Medical Journal, vol. 21, no. 2, 2019, pp. 145-7, doi:10.18678/dtfd.573444.
Vancouver Patmano G, Salar R, Kaya A. Air Embolism in Liver: A Rare Location. Duzce Med J. 2019;21(2):145-7.