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Cerebral arterial air embolism in a child after intraosseous infusion.

van Rijn RR, Knoester H, Maes A, van der Wal AC, Kubat B - Emerg Radiol (2008)

Bottom Line: Cerebral arterial air embolism (CAAE) has been reported as a rare complication of medical intervention.There has been one reported case of CAAE after the use of an intraosseous infusion (IO) system.We report on a case of CAAE after tibial IO infusion in a 7-month-old girl during resuscitation.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Academic Medical Centre/Emma Children's Hospital, Amsterdam, The Netherlands. r.r.vanrijn@amc.uva.nl

ABSTRACT
Cerebral arterial air embolism (CAAE) has been reported as a rare complication of medical intervention. There has been one reported case of CAAE after the use of an intraosseous infusion (IO) system. We report on a case of CAAE after tibial IO infusion in a 7-month-old girl during resuscitation.

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View of the trachea devoid of food remnants, a small amount of saliva is seen (arrow)
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Fig5: View of the trachea devoid of food remnants, a small amount of saliva is seen (arrow)

Mentions: A full judicial autopsy was performed in The Netherlands Forensic Institute, as is mandatory in children with a possible non-natural cause of death. The body showed normal measurements (length, 64 cm, and 6,900 grams, both p50) and a known omphalocele. Autopsy showed that the omphalocele contained a large segment of the right liver lobe and the ascending colon including the appendix, with adhesion to the abdominal wall (Fig. 3). The intestines showed no signs of ischemia. Inspection of the heart revealed only minor congenital abnormalities, which consisted of a defect in the interatrial septum, fossa ovalis type with deficient flap valve, and slight hypertrabeculation of the ventricles, particularly the right ventricle (Fig. 4). The latter findings, however, were clearly insufficient for a diagnosis of ventricular non-compaction. There was some pulmonary oedema, possibly due to the vigorous fluid resuscitation. The trachea was without abnormalities and, in contrast to the clinical history, showed no signs of food aspiration (Fig. 5). Additional toxicological, microbiological and biochemical analyses of body fluids and tissues were all inconclusive.Fig. 3


Cerebral arterial air embolism in a child after intraosseous infusion.

van Rijn RR, Knoester H, Maes A, van der Wal AC, Kubat B - Emerg Radiol (2008)

View of the trachea devoid of food remnants, a small amount of saliva is seen (arrow)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2480503&req=5

Fig5: View of the trachea devoid of food remnants, a small amount of saliva is seen (arrow)
Mentions: A full judicial autopsy was performed in The Netherlands Forensic Institute, as is mandatory in children with a possible non-natural cause of death. The body showed normal measurements (length, 64 cm, and 6,900 grams, both p50) and a known omphalocele. Autopsy showed that the omphalocele contained a large segment of the right liver lobe and the ascending colon including the appendix, with adhesion to the abdominal wall (Fig. 3). The intestines showed no signs of ischemia. Inspection of the heart revealed only minor congenital abnormalities, which consisted of a defect in the interatrial septum, fossa ovalis type with deficient flap valve, and slight hypertrabeculation of the ventricles, particularly the right ventricle (Fig. 4). The latter findings, however, were clearly insufficient for a diagnosis of ventricular non-compaction. There was some pulmonary oedema, possibly due to the vigorous fluid resuscitation. The trachea was without abnormalities and, in contrast to the clinical history, showed no signs of food aspiration (Fig. 5). Additional toxicological, microbiological and biochemical analyses of body fluids and tissues were all inconclusive.Fig. 3

Bottom Line: Cerebral arterial air embolism (CAAE) has been reported as a rare complication of medical intervention.There has been one reported case of CAAE after the use of an intraosseous infusion (IO) system.We report on a case of CAAE after tibial IO infusion in a 7-month-old girl during resuscitation.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology, Academic Medical Centre/Emma Children's Hospital, Amsterdam, The Netherlands. r.r.vanrijn@amc.uva.nl

ABSTRACT
Cerebral arterial air embolism (CAAE) has been reported as a rare complication of medical intervention. There has been one reported case of CAAE after the use of an intraosseous infusion (IO) system. We report on a case of CAAE after tibial IO infusion in a 7-month-old girl during resuscitation.

Show MeSH
Related in: MedlinePlus