Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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CASE REPORT
Year : 2013  |  Volume : 8  |  Issue : 2  |  Page : 124-126

Cerebral gas embolism in a case of Influenza A-associated acute respiratory distress syndrome treated with high-frequency oscillatory ventilation


Department of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of California, Davis, California, United States

Correspondence Address:
Christian M Sebat
Clinical Fellow, Division of Pulmonary, Critical Care and Sleep Medicine, University of California, Davis 4150 V Street, PSSB Suite 3400, Sacramento, CA 95817
United States
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DOI: 10.4103/1817-1737.109839

PMID: 23741277

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A 22-year-old obese asthmatic woman with Influenza A (H1N1)-associated acute respiratory distress syndrome died from cerebral artery gas emboli with massive cerebral infarction while being treated with High-Frequency Oscillatory Ventilation in the absence of a right to left intracardiac shunt. We review and briefly discuss other causes of systemic gas emboli (SGE). We review proposed mechanisms of SGE, their relation to our case, and how improved understanding of the risk factors may help prevent SGE in positive pressure ventilated patients.


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