Original contributionIn vitro comparison of central venous catheters for aspiration of venous air embolism: Effect of catheter type, catheter tip position, and cardiac inclination☆
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Cited by (25)
Intraoperative Massive Carbon Dioxide Embolism Captured with Transesophageal Echocardiography in a Patient with a Rare Vena Cava Anomaly
2019, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :Successful aspiration of the gas is challenging and requires the orifice of a catheter to be within the embolism. The small lumen size of central catheters make aspiration often ineffective with a success rate of only 6% to 16%.9,10 Even with ideal catheter positioning and utilization of a specialized multiorifice catheter, the success rate increases to only 30% to 60%.10,11
Preoperative considerations and intraoperative neuroanesthesiologic management
2012, Revista Espanola de Anestesiologia y ReanimacionAir embolism during operative hysteroscopy: TEE-guided resuscitation
2012, Journal of Clinical AnesthesiaCitation Excerpt :Given the rapid return to baseline hemodynamic status, a central venous catheter (CVC) was not placed for aspiration of entrained air bubbles in our patient. Overall, multi-lumen catheters are ineffective in aspirating air; success rates range between 6% and 16% [68,69]. In addition, there are no data supporting emergent CVC insertion for air aspiration during cardiovascular collapse caused by air embolism.
Mechanical complications of central venous access
2011, Revista Medica Clinica Las CondesRecognition and management of major vessel injury during laparoscopy
2010, Journal of Minimally Invasive GynecologyCitation Excerpt :However, this goal may be difficult to achieve. A catheter can be inserted using any standard approach (i.e., internal jugular, subclavian, or antecubital veins), and should ideally be guided by either fluoroscopy or an electrocardiogram lead attached to the catheter so that the tip is positioned 2 cm distal to the junction of the superior vena cava and right atrium [30]. Although one study demonstrated that the multiple-orifice Bunegin-Albin catheter (Cook Critical Care, Bloomington, IN) is more effective for aspirating gas than either the multiple-lumen venous or pulmonary artery Swan-Ganz catheters [30], this specialty catheter might not be readily available at many hospitals.
Massive Carbon Dioxide Embolism Caused by a Carbon Dioxide Blower During the Repair of a Coronary Vein During Off-Pump Coronary Artery Bypass
2007, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :The authors tried to aspirate the gas from the distal port of the PAC. In several previous studies, the superior vena cava–right atrial junction was considered for the air aspiration using a central venous catheter.7-9 However, they were mainly studies on neurosurgical patients.
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This study was supported by a grant to Dr. Hanna from the Southern Medical Association.
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Resident in Anesthesiology
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Associate Professor, Anesthesiology and Neurosurgery