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Updated: Apr 26, 2026
07:44
A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
983
Venous air embolism: A complication during percutaneous nephrolithotomy
Geeta P Parikh1, Sumedha R Sonde1, Prachi Kadam1
1Department of Anaesthesia and Critical Care, Smt. K. M. Mehta and Smt. G.R. Doshi Institute of Kidney Diseases and Research Center , Dr. H. L. Trivedi Institute of Transplantation Sciences, Civil Hospital Campus, Asarwa, Ahmedabad, Gujarat, India.
Summary
Venous air embolism, a rare complication during percutaneous nephrolithotomy (PCNL), can occur after air pyelogram. Prompt diagnosis and resuscitation are crucial for managing this potentially serious event.
Area of Science:
- Urology
- Nephrology
- Surgical Complications
Background:
- Percutaneous nephrolithotomy (PCNL) is a common procedure for kidney stone removal.
- Venous air embolism (VAE) is an infrequent but serious complication that can occur during urological procedures.
- Air pyelogram, used for visualizing the renal collecting system, may pose a risk for VAE.
Observation:
- A case of suspected VAE during an air pyelogram in a patient undergoing PCNL is presented.
- Clinical signs of VAE included a drop in end-tidal carbon dioxide, blood pressure, and oxygen saturation.
- The patient was managed conservatively.
Findings:
- The clinical presentation strongly suggested VAE during the air pyelogram phase of PCNL.
- Monitoring physiological parameters like end-tidal CO2 is vital for early VAE detection.
- Conservative management was successful in this case.
Implications:
- This case highlights the importance of recognizing and rapidly diagnosing VAE during PCNL.
- Early detection and prompt resuscitation are critical for improving patient outcomes.
- Awareness of VAE risk associated with air pyelogram can guide preventative strategies.
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