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Venous air embolism during radical perineal prostatectomy |
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| Authors: | Michael P. Jolliffe MD Michael A. Lyew MB FRCA Ines H. Berger MD Thomas Grimaldi MD |
| Affiliation: | Department of Anesthesiology and Department of Urology, State University of New York at Buffalo, Buffalo, NY, USA |
| Abstract: | An abrupt decrease in end-tidal carbon dioxide (CO2) occurred in an anesthetized male who was placed in the head down position during radical perineal prostatectomy. The end-tidal CO2 was restored after insertion of a wet pack into the operative site, which strongly indicated venous air embolism as the cause. Predisposing factors, detection, and treatment of venous air embolism in this setting are discussed. |
| Keywords: | Air embolism venous patient position extreme lithotomy Trendelenburg prostatectomy radical perineal |
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