Sunday, March 21, 2010

air embolism and air travel

The Neurologist 2010   A  62 year old woman with cerebral artery air embolism during commercial air travel.  16: 136-137.
 
Notes
usual list of associations with air embolus-- surgery, scuba diving, induced abortion, angiography and pneumothorax, orogenital sex on a woman with cerebral air emboli (see Crit Care Med 1988).

A new one is air travel.  In this case, pulmonary bullae due to emphysema occurred as the bullae expanded as the pressure in the cabin was reduced, leading to rupture of the bullae, pneumothorax and air embolism.  Barotrauma was presumably the proximate cause.

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