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Clinical Study BMJ case reports 2022

Complications of cerebral air embolism associated with pleural lavage for empyema.

Ishihara T, Sato S, Manabe S, Ozawa H — BMJ case reports, 2022

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Researchers reported a case of cerebral air embolism in a man treated with pleural lavage for acute empyema.

What They Found

A man in his late 40s undergoing his 10th pleural lavage with 0.9% saline (1000 mL/day) for acute empyema suddenly became unconscious. Head imaging confirmed a cerebral air embolism, which resolved after urgent hyperbaric oxygen therapy without neurological sequelae.

What This Means for Canadian Patients

Canadian patients undergoing pleural lavage for empyema should be aware of the rare but serious risk of cerebral air embolism. Healthcare providers should monitor patients closely during this procedure and be prepared for immediate intervention if complications arise.

Canadian Relevance

This study has no direct Canadian connection.

Study Limitations

As a single case report, the findings may not be generalizable to all patients undergoing pleural lavage.

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Study Details

Study Type Clinical Study
Category Neurological
Source Pubmed
PubMed ID 35760513
Year Published 2022
Journal BMJ case reports
MeSH Terms Anti-Bacterial Agents; Embolism, Air; Empyema, Pleural; Humans; Male; Pleura; Pleural Effusion; Saline Solution; Therapeutic Irrigation; Urokinase-Type Plasminogen Activator

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.