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Fatal gas embolism during transurethral incision of the bladder neck under spinal anesthesia
Mei-Yung Tsou1, Yun-Hui Teng, Lok-Hi Chow
1Department of Anesthesiology, Taipei Veterans General Hospital, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Unlabelled:
We report a case of fatal gas embolism during transurethral incision of the bladder neck under spinal anesthesia in a 76-yr-old man. We confirmed the diagnosis of venous gas embolism by aspiration of frothy blood through the double-lumen central venous catheter and by observation on the transesophageal echocardiogram of a massive gas embolism in the right atrium and right ventricle with obstruction of right ventricle outflow. This report is presented in an attempt to remind anesthesiologists of this unusual but potentially fatal complication that may occur during common transurethral surgery.
Implications:
We report a patient undergoing transurethral incision of the bladder neck who developed a fatal gas embolism. This report is presented in an attempt to remind anesthesiologists of this unusual but potentially fatal complication that may occur during common transurethral surgery.
