• Can J Anaesth · Nov 1997

    Case Reports

    Venous air embolism during orthotopic liver transplantation in a child.

    • V Souron, D Fletcher, E Goujard, and C Ecoffey.
    • Département d'Anesthésie-Réanimation Chirurgicale, Hôptial de Bicêtre, Kremlin, Bicetre, France.
    • Can J Anaesth. 1997 Nov 1; 44 (11): 1187-90.

    PurposeA first case of massive venous air embolism is reported as a complication of orthotopic liver transplantation in a 17-month-old child during the dissection phase.Clinical FeaturesDuring the hepatic dissection phase, perforation of suprahepatic veins was responsible for an air embolism with a decrease of P(ET)CO2 (27 to 6 mmHg), hypoxaemia (SpO2 decreased from 100 to 88%), and haemodynamic instability (systolic blood pressure decreased from 85 to 50 mmHg, central venous pressure increased from 6 to 10 mmHg). Central venous aspiration of air was unsuccessful but immediate resolution occurred and neurological outcome was normal.ConclusionVenous air embolism during the dissection phase of liver transplantation in children is a risk that should be considered

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