Documented arterial gas embolism after spinal epidural injection
Copyright policy )Documented arterial gas embolism after spinal epidural injection
We report the case of a 90-year-old man with syncope, arrhythmia, cardiac ischemia, and neurologic deficit after undergoing spinal epidural injection for control of pain related to post-herpetic neuralgia. The diagnosis of arterial gas embolus was made after air was identified in the left ventricle of the heart on an abdominal computed tomographic scan. Emergency physicians should consider and rapidly diagnose this rare but potentially fatal complication of spinal epidural puncture.
- Maine Medical Center United States
Male, Heart Ventricles, Oxygen Inhalation Therapy, Injections, Epidural, Betamethasone, Bupivacaine, Herpes Zoster, Analgesia, Epidural, Diagnosis, Differential, Embolism, Air, Humans, Emergency Service, Hospital, Tomography, X-Ray Computed, Aged
Male, Heart Ventricles, Oxygen Inhalation Therapy, Injections, Epidural, Betamethasone, Bupivacaine, Herpes Zoster, Analgesia, Epidural, Diagnosis, Differential, Embolism, Air, Humans, Emergency Service, Hospital, Tomography, X-Ray Computed, Aged
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