Fatal Massive Air Embolism During Holmium Laser Enucleation of the Prostate (HoLEP)
Science Journal of Clinical Medicine
Volume 6, Issue 4, July 2017, Pages: 60-62
Received: Jan. 15, 2017; Accepted: Feb. 17, 2017; Published: Oct. 18, 2017
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Authors
Zhang Wangping, Department of Anesthesiology, Affiliated Women and Children’S Hospital of Jiaxing University, Jiaxing, China
Ren Ming, Department of Anesthesiology, Affiliated Women and Children’S Hospital of Jiaxing University, Jiaxing, China
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Abstract
Massive air embolism occured during holmium laser enucleation of the prostate (HOLEP) for prostatic hyperplasia (BPH). A 65 years patient with BPH was scheduled to undergo elective HoLEP. After anesthetic of intrathecal 15 mg hyperbaric ropivocaine was administered in the left lateral decubitus position, then the patient was turned in supine position. The surgery started when the patient was placed in a 10 degree head down tilt. Two hours and 40 min later, while the hypertrophic prostate was almost enucleated, the patient complained of abdominal distension. Immediately, he was not breathing and his eyes were glazed. The heart rate abruptly decreased from 82 to 35 beats per min and cardiac arrest happened. After intubation, it showed the end-tidal carbon dioxide partial pressure (PetCO2) was 6 mmHg. When took a blood sample from external jugular vein for blood gas analysis, some air existed in the syringe. VAE was suspected.
Keywords
Air Embolism, Holmium Laser, Prostate
To cite this article
Zhang Wangping, Ren Ming, Fatal Massive Air Embolism During Holmium Laser Enucleation of the Prostate (HoLEP), Science Journal of Clinical Medicine. Vol. 6, No. 4, 2017, pp. 60-62. doi: 10.11648/j.sjcm.20170604.13
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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