Case report: air embolism, BIS usefulness and electroencephalographic trace in patients undergoing craniotomy in lateral decubitus position and pulseless electrical activity

Gerardo E Álvarez-Reséndiz; Enrique Klériga-Grossgerge; Christian Chalita Pérez-Tagle; Darcy Mari-Zapata; José Gamaliel Velazco-González; Guillermo Ochoa-Gaitán; Clara Luz Gutiérrez-Porras; Alfredo Sierra-Unzueta

2014, Number 3

Rev Mex Anest 2014; 37 (3)

Case report: air embolism, BIS usefulness and electroencephalographic trace in patients undergoing craniotomy in lateral decubitus position and pulseless electrical activity

Álvarez-Reséndiz GE, Klériga-Grossgerge E, Pérez-Tagle CC, Mari-Zapata D, Velazco-González JG, Ochoa-Gaitán G, Gutiérrez-Porras CL, Sierra-Unzueta A

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ABSTRACT

Venous air embolism, is the air intake from a surgical site in the venous system, in general it is a rare complication in a craniotomy in the lateral position with the head at hearts level. We describe a case of shock and peripheral pulseless electrical activity by venous air embolism in which monitoring bispectral index with electroencephalographic activity and with the direct observation of cerebral pulsation were crucial in deciding the patient’s treatment.

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