Case Report
Venous Air Embolism during Deep Brain Stimulation Surgery in an Awake Supine PatientDeogaonkar A.a · Avitsian R.b · Henderson J.M.c · Schubert A.baDivision of Anesthesiology and Critical Care Medicine, Departments of bGeneral Anesthesiology and cNeurosurgery, Cleveland Clinic Foundation, Cleveland, Ohio, USA
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Article / Publication Details
Published online: May 23, 2005
Issue release date: May 2005
Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 3
ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)
For additional information: https://www.karger.com/SFN
Abstract
Deep brain stimulation (DBS) of the subthalamic nucleus and globus pallidus is used to improve Parkinsonian symptoms and reduce levodopa-induced motor complications in Parkinson’s disease (PD). This procedure is usually performed with minimal or no sedation to allow accurate feedback from patients during surgery. Venous air embolism (VAE) has been previously reported in patients undergoing awake neurosurgical procedures for brain tumors or pallidotomy for PD. We describe a case of intraoperative VAE in an awake, supine patient while undergoing DBS surgery for PD who presented with coughing, tachypnea and hypoxemia. The difference in clinical presentation between VAE in awake vs. anesthetized patients is discussed as are intraoperative monitoring techniques and management options.
© 2005 S. Karger AG, Basel
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Article / Publication Details
Published online: May 23, 2005
Issue release date: May 2005
Number of Print Pages: 4
Number of Figures: 1
Number of Tables: 3
ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)
For additional information: https://www.karger.com/SFN
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