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CC BY-NC-ND 4.0 · Asian J Neurosurg 2012; 7(04): 227-228
DOI: 10.4103/1793-5482.106662
CASE REPORT

Air embolism related to removal of Mayfield head pins

Hesham El-Zenati
Department of Anesthesia/ICU Pain and Palliative Care, Hamad Medical Corporation,PO Box 3050, Doha
,
Jafar Faraj
Department of Anesthesia/ICU Pain and Palliative Care, Hamad Medical Corporation,PO Box 3050, Doha
,
Ghaya Al-Rumaihi
1   Department of Neurosurgery, Hamad Medical Corporation,PO Box 3050, Doha
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Venous air embolism (VAE) may be fatal and frequently carries high neurologic, respiratory, and cardiovascular morbidity. Its occurrence during anesthesia is challenging to the anesthesiologists in terms of early discovery and management. VAE during neurosurgical procedures especially in the sitting position is well known and usually prepared for it; however, VAE might happen unexpectedly as in this patient's case. A young patient underwent an exploratory pterional craniotomy for recollection of subdural hematoma and head pins were used to stabilize the head. The surgery and anesthesia were uneventful; however, he developed a sudden cardiovascular collapse at the end of surgery and immediately after removal of the Mayfield pins.

Key-words:

Air embolism - head pins - Mayfield - neurosurgery


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Artikel online veröffentlicht:
27. September 2022

© 2012. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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