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Air Embolism: A Severe Complication of Hysteroscopic Surgery

Received: 25 May 2022     Accepted: 3 July 2022     Published: 13 July 2022
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Abstract

Air embolism is one of the complications of hysteroscopy. When air enters the circulatory system to block blood vessels, it will lead to embolism, and even endanger the life of patients in serious cases. The prognosis of patients can be significantly improved through the rapid diagnosis and timely treatment of air embolism. Since most air embolism is iatrogenic, operators should not only make preoperative preparations, but also be familiar with the symptoms and signs of air embolism. Once air embolism is suspected, the operator must immediately observe the patient's vital signs and hemodynamics and immediately stop the operation and carry out treatment to prevent further deterioration of the condition when the situation is critical. Based on the clinical cases of air embolism in recent years and relevant research and analysis, this paper summarizes the pathogenesis, clinical manifestations, auxiliary examination, prevention and treatment of air embolism, so as to provide reference for clinical prevention and treatment of air embolism.

Published in Journal of Gynecology and Obstetrics (Volume 10, Issue 4)
DOI 10.11648/j.jgo.20221004.11
Page(s) 171-175
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Hysteroscopy, Air Embolism, Diagnosis, Treatment

References
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[2] Mirski, M. A.; Lele, A. V.; Fitzsimmons, L.; Toung, T. J. Diagnosis and treatment of vascular air embolism. Anesthesiology. 2007, 106, 164–177.
[3] Kapoor, T.; Gutierrez, G. Air embolism as a cause of the systemic inflflammatory response syndrome: A case report. Crit Care. 2003, 7, R98–R100.
[4] Dyrbye BA, Overdijk LE, van Kesteren PJ, et al. Gas embolism during hysteroscopic surgery using bipolar or monopolar diathermia: a randomized controlled trial. Am J Obstet Gynecol. 2012; 207: 271.e1–271.e6.
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[7] Hong B, Lee K H, Yoo H J, et al. Unexpected development of intraoperative paradoxical air embolism uring hysteroscopic myomectomy. J Obstet Gynaecol. 2020; 40: 885-886.
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Cite This Article
  • APA Style

    Mengyue Chen, Mengru Zhao, Yun Yang, Huimin Tang, Zhenyue Qin, et al. (2022). Air Embolism: A Severe Complication of Hysteroscopic Surgery. Journal of Gynecology and Obstetrics, 10(4), 171-175. https://doi.org/10.11648/j.jgo.20221004.11

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    ACS Style

    Mengyue Chen; Mengru Zhao; Yun Yang; Huimin Tang; Zhenyue Qin, et al. Air Embolism: A Severe Complication of Hysteroscopic Surgery. J. Gynecol. Obstet. 2022, 10(4), 171-175. doi: 10.11648/j.jgo.20221004.11

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    AMA Style

    Mengyue Chen, Mengru Zhao, Yun Yang, Huimin Tang, Zhenyue Qin, et al. Air Embolism: A Severe Complication of Hysteroscopic Surgery. J Gynecol Obstet. 2022;10(4):171-175. doi: 10.11648/j.jgo.20221004.11

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  • @article{10.11648/j.jgo.20221004.11,
      author = {Mengyue Chen and Mengru Zhao and Yun Yang and Huimin Tang and Zhenyue Qin and Junling Liu and Huihui Wang and Mingyue Bao and Jiming Chen and Bairong Xia},
      title = {Air Embolism: A Severe Complication of Hysteroscopic Surgery},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {10},
      number = {4},
      pages = {171-175},
      doi = {10.11648/j.jgo.20221004.11},
      url = {https://doi.org/10.11648/j.jgo.20221004.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20221004.11},
      abstract = {Air embolism is one of the complications of hysteroscopy. When air enters the circulatory system to block blood vessels, it will lead to embolism, and even endanger the life of patients in serious cases. The prognosis of patients can be significantly improved through the rapid diagnosis and timely treatment of air embolism. Since most air embolism is iatrogenic, operators should not only make preoperative preparations, but also be familiar with the symptoms and signs of air embolism. Once air embolism is suspected, the operator must immediately observe the patient's vital signs and hemodynamics and immediately stop the operation and carry out treatment to prevent further deterioration of the condition when the situation is critical. Based on the clinical cases of air embolism in recent years and relevant research and analysis, this paper summarizes the pathogenesis, clinical manifestations, auxiliary examination, prevention and treatment of air embolism, so as to provide reference for clinical prevention and treatment of air embolism.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Air Embolism: A Severe Complication of Hysteroscopic Surgery
    AU  - Mengyue Chen
    AU  - Mengru Zhao
    AU  - Yun Yang
    AU  - Huimin Tang
    AU  - Zhenyue Qin
    AU  - Junling Liu
    AU  - Huihui Wang
    AU  - Mingyue Bao
    AU  - Jiming Chen
    AU  - Bairong Xia
    Y1  - 2022/07/13
    PY  - 2022
    N1  - https://doi.org/10.11648/j.jgo.20221004.11
    DO  - 10.11648/j.jgo.20221004.11
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 171
    EP  - 175
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20221004.11
    AB  - Air embolism is one of the complications of hysteroscopy. When air enters the circulatory system to block blood vessels, it will lead to embolism, and even endanger the life of patients in serious cases. The prognosis of patients can be significantly improved through the rapid diagnosis and timely treatment of air embolism. Since most air embolism is iatrogenic, operators should not only make preoperative preparations, but also be familiar with the symptoms and signs of air embolism. Once air embolism is suspected, the operator must immediately observe the patient's vital signs and hemodynamics and immediately stop the operation and carry out treatment to prevent further deterioration of the condition when the situation is critical. Based on the clinical cases of air embolism in recent years and relevant research and analysis, this paper summarizes the pathogenesis, clinical manifestations, auxiliary examination, prevention and treatment of air embolism, so as to provide reference for clinical prevention and treatment of air embolism.
    VL  - 10
    IS  - 4
    ER  - 

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Author Information
  • Graduate School, Dalian Medical University, Dalian, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Department of Gynecology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Department of Gynecology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Graduate School, Dalian Medical University, Dalian, PR China

  • Department of Gynecology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, PR China

  • Department of Gynecology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, PR China

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