Gunhild Holmaas

NIR

November 2016

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Akutte symptom/nevrologiske utfall

*Paracentese

*100% oksygen

*Trykkammerbehandling

*tabell 6 (18 m og så 9 m, totalt 4 timar) straks

*Tabell 14/90 neste dag, ev. også dagen deretter

• Murphy BP, Harford FJ, Cramer FS. Cerebral air embolism resulting from invasivemedical procedures. Treatment with hyperbaricoxygen. Ann Surg. 1985 Feb; 201 (2):242-5.

• Chang C, Dughi J, Shitabata P, Johnson G, Coel M, McNamara JJ. Air embolism and the radial arterial line. Crit Care Med. 1988 Feb; 16 (2):141-3.

• Dube L, Soltner C, Daenen S, Lemarieé J, Asfar P, Alquier P. Gas embolism: an exceptional complication of radial arterial catheterization. Acta Anaesthesiol Scand. 2004 Oct; 48 (9):1208-10.

• Murphy GS, Szokol JW, Marymont JH, Avram MJ, Vender JS, Kubasiak J. Retrograde blood flow in the brachial and axillaryarteries during routine radial arterial catheterflushing. Anesthesiology. 2006 Sep; 105 (3):492-7.

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Nye rutiner for arteriekransett

*Ved fylling av arteriekransett

* Klemme all luft ut av saltvatnsposen

* Fylle dropekammeret heilt med vatn

*Alltid klemme av arteriekransettet når trykksettposen blir lagt ned

*Alltid sjekke slangen med tanke på luftbobler før skylling

*Ekstra varsemd ved skylling med sprøyte

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Lett å førebygge

Underdiagnostisert

Farleg

Viktig å behandle rett

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1. No authors listed. French Society of Anesthesia and Intensive Care. Arterialcatheterization and invasive measurement of blood pressure in anesthesia and intensive care in adults. Ann Fr Anesth Reanim. 1995;14(5):444-53.

2. Dube L1, Soltner C, Daenen S, Lemarieé J, Asfar P, Alquier P. Gas embolism: an exceptional complication of radial arterial catheterization. Acta AnaesthesiolScand. 2004 Oct; 48 (9):1208-10.

3. Murphy GS1, Szokol JW, Marymont JH, Avram MJ, Vender JS, Kubasiak J. Retrograde blood flow in the brachial and axillary arteries during routine radial arterial catheter flushing. Anesthesiology. 2006 Sep; 105 (3):492-7.

4. Chang C1, Dughi J, Shitabata P, Johnson G, Coel M, McNamara JJ. Air embolism and the radial arterial line. Crit Care Med. 1988 Feb; 16 (2):141-3.

5. Murphy BP, Harford FJ, Cramer FS. Cerebral air embolism resulting from invasivemedical procedures. Treatment with hyperbaric oxygen. Ann Surg. 1985 Feb; 201 (2):242-5.

6. Dexter, Franklin MD, PhD; Hindman, Bradley J. MD. Recommendations for Hyperbaric Oxygen Therapy of Cerebral Air Embolism Based on a Mathematical Model of Bubble Absorption. Anesthesia & Analgesia: June 1997 - Volume 84 - Issue6 - pp 1203-1207