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Air Embolism during Upper Endoscopy: A Case Report.

Yin Fang1, Junbei Wu1, Feng Wang2

  • 1Department of Anesthesiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

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Air embolism is a rare but serious complication of upper endoscopy. Prompt recognition and management are crucial for improving patient outcomes after this gastrointestinal procedure.

Keywords:
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Area of Science:

  • Gastroenterology
  • Critical Care Medicine
  • Vascular Complications

Background:

  • Upper endoscopy is a common diagnostic procedure.
  • Air embolism is a rare but potentially fatal complication.
  • This case highlights the importance of vigilance during endoscopic procedures.

Observation:

  • A 67-year-old male developed air embolism during upper endoscopy for melena.
  • Symptoms included decreased oxygen saturation and delayed recovery from sedation.
  • The patient experienced residual left upper limb weakness.

Findings:

  • The patient recovered without hyperbaric oxygen therapy.
  • Literature review on air embolism etiology, clinical features, and treatment is presented.
  • Early diagnosis and intervention are key to managing air embolism.

Implications:

  • Clinicians must be aware of the risk of air embolism during endoscopy.
  • Prompt diagnostic and therapeutic measures can improve patient prognosis.
  • This emphasizes the need for preparedness in managing rare endoscopic complications.