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VOLUME 21 , ISSUE 11 ( 2017 ) > List of Articles


Cerebral air embolism secondary to lung laceration

Ashok Singh, Jayant Verma, Surendra Kumar

Keywords : Air embolism, lung laceration, pneumocephalus

Citation Information : Singh A, Verma J, Kumar S. Cerebral air embolism secondary to lung laceration. Indian J Crit Care Med 2017; 21 (11):783-785.

DOI: 10.4103/ijccm.IJCCM_291_17

License: CC BY-ND 3.0

Published Online: 01-11-2017

Copyright Statement:  Copyright © 2017; The Author(s).


Cerebral air embolism is a rare clinical entity in day-to-day practice. The introduction of air into the venous or the arterial system can cause cerebral air embolism leading to severe neurological deficits. The common causes reported in the literature are iatrogenic; it can be caused by positive pressure maneuvers performed during cardiac resuscitation, lung biopsy, and the placement of venous catheters in the presence of a patent foramen ovale. We report a case of cerebral air embolism which has occurred secondary to lung laceration. The patient underwent intercostal drainage for hydro-pneumothorax and developed forceful cough and suddenly changed in consciousness. Air embolism was diagnosed by computed tomography brain and was managed by high-concentration oxygen therapy and other supportive measures and is being discharged in satisfactory condition.

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  1. Melamed Y, Shupak A, Bitterman H. Medical problems associated with underwater diving. N Engl J Med 1992;326:30-5.
  2. Palmon SC, Moore LE, Lundberg J, Toung T. Venous air embolism: A review. J Clin Anesth 1997;9:251-7.
  3. Porter JM, Pidgeon C, Cunningham AJ. The sitting position in neurosurgery: A critical appraisal. Br J Anaesth 1999;82:117-28.
  4. Weissman A, Kol S, Peretz BA. Gas embolism in obstetrics and gynecology. A review. J Reprod Med 1996;41:103-11.
  5. Muth CM, Shank ES. Gas embolism. N Engl J Med 2000;342:476-82.
  6. Shank ES, Muth CM. Diver with decompression injury, elevation of serum transaminase levels, and rhabdomyolysis. Ann Emerg Med 2001;37:533-6.
  7. Evans DE, Kobrine AI, Weathersby PK, Bradley ME. Cardiovascular effects of cerebral air embolism. Stroke 1981;12:338-44A.
  8. Annane D, Troché G, Delisle F, Devauchelle P, Paraire F, Raphaël JC, et al. Effects of mechanical ventilation with normobaric oxygen therapy on the rate of air removal from cerebral arteries. Crit Care Med 1994;22:851-7.
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