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Venous and Arterial Gas Embolism Associated With Positive Pressure Ventilation

Lindell K. Weaver; Alan Morris
Author and Funding Information

From the Division of Pulmonary and Critical Care Medicine, Department of Medicine, LDS Hospital, and Division of Respiratory, Critical Care, and Occupational (Pulmonary) Medicine, University of Utah School of Medicine, Salt Lake Cit


1998 by the American College of Chest Physicians


Chest. 1998;113(4):1132-1134. doi:10.1378/chest.113.4.1132
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Abstract

We report a 53-year-old woman with ARDS who required positive pressure ventilation with positive end-expiratory pressure. She sustained an acute right ventricular myocardial infarction associated with cardiovascular instability. The next day she sustained a fatal cerebral arterial gas embolism. Intravascular gas was documented within the cerebral, coronary, and pulmonary arterial circulations. Clinicians need to be aware of venous and arterial gas embolism as a complication of mechanical ventilation.


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