Authors:

Wang Wei

Division of General Surgery, Department of Surgery, The First Affiliated Hospital, Sun Yat-sen University, China

Abstract:

Air embolism isn’t diagnosed and is usually fatal. The identification is usually not created in a very timely manner given the speedy and severe clinical deterioration that always develops, ofttimes resulting in pathology. several patients ar solely diagnosed post-mortem. With the increasing use of scrutiny retrograde cholangiopancreatography, air embolism ought to be thought of within the medical diagnosis in patients UN agency expertise sudden clinical deterioration throughout or right away once the procedure. Clinical suspicion is vital within the identification and management of air embolism. Use of external organ Doppler ultrasound and transesophageal sonogram will aid within the identification of air embolism. Once the identification is created, confirmative management of airway, respiration and circulation is polar. Advanced viscus life support ought to be initiated once necessary. Fluid revival and vasopressors will improve flow. Hyperbaric gas medical care ought to be thought of once potential in cases of suspected cerebral air embolism cases to enhance neurologic outcome. A multidisciplinary team approach and effective communication with specialists, doubtless together with Associate in Nursing anaesthetist, medical specialist, intensivist, specialist and doc, will improve the result in air embolism.

Keywords:
Endoscopic retrograde cholangiopancreatography, air embolism, precordial Doppler ultrasound, transesophageal echocardiogram, hyperbaric oxygen therapy.

Citation:

Wang Wei. Diagnosis and treatment of a gas embolism during endoscopic retrograde cholangiopancreatography Japanese Journal of Gastroenterology 2022.