Air embolism through open hub of external jugular vein intravenous cannula

Venous air embolism is a catastrophic complication that can result in sudden cardiac arrest and death. Massive air embolism has been reported with central venous catheter through the internal jugular and subclavian veins. Though external jugular vein is a potential site of an air embolism to cardiac...

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Bibliographic Details
Published in:Turkish journal of emergency medicine 2019-07, Vol.19 (3), p.117-119
Main Authors: Mohanty, Chitta R., Ahmad, Suma R., Jain, Mantu, Sriramka, Bhavna
Format: Article
Language:English
Subjects:
Air embolism
Case Report
External jugular vein
Intravenous cannula
Vigilance
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Summary:Venous air embolism is a catastrophic complication that can result in sudden cardiac arrest and death. Massive air embolism has been reported with central venous catheter through the internal jugular and subclavian veins. Though external jugular vein is a potential site of an air embolism to cardiac chambers and subsequently to vital organs such as brain, heart and lungs but has not been reported yet in literature. We are reporting a case of sudden pulmonary air embolism in a patient through the open hub of an intravenous cannula, vigilant monitoring and timely action saved the patient from a catastrophic outcome. We recommend vigilant monitoring and adequate precaution in patients with external jugular venous cannulation in the operation theater, intensive care unit or wards to prevent iatrogenic complications.
ISSN:2452-2473
2452-2473
DOI:10.1016/j.tjem.2019.06.002