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Air embolism (Management (Circulation (If hypotensive (Turn off vaporizer,…
Air embolism
Management
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Circulation
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Can check radiologically, pull back from the RV while monitoring IV pressure, or IV ECG
Reduce embolic obstruction - left lat. position may overcome air lock in the RV by positioning the air in the RA where it can be aspirated
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Minimising risk
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Monitors
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Precordial doppler (high sensitivity and non invasive) Combination of precordial doppler and ETC02 current standard of care
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Clinical features
CVS
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ECG: RV strain, ST changes
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Risk factors
Surgical
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Procedures where open veins may be at low pressure in relation to the heart e.g. craniotomy (sitting position), spinal surgery
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