Publication: Unexpected Sudden Bouts of Coughing During Endourology Procedures: Sign of Impending Doom
Date
2019
Authors
Article Type
Case Report
Journal Title
Journal ISSN
1812-2027
Volume Title
Pages
Pages: 350 - 351
Publisher
Kathmandu University
Abstract
ABSTRACT
Endourological procedures are commonly performed in our daily practice. Most of
the time, this type of surgery is usually performed under regional anesthesia and
is usually not associated with any complications. The irrigation pump used in such
procedures consists of irrigating fluid flowing in high pressure. If left unnoticed,
sometimes irrigating fluid can lead to passage of air into the patient venous system
leading to air embolism. This can be a disastraous complication leading to even
sudden mortality. Here we present a case of such incident where patient has
sudden coughing followed by drop in oxygen saturation.
KEY WORDS
Air embolism, Anesthesia, Endourology, Persistent cough
Description
Shrestha BR,1 Khadgi S,2 Piya B1
1Department of Anaesthesia and Intensive Care,
Kathmandu Medical College, Sinamangal, Nepal.
2Department of Urosurgery,
Venus Hospital, Kathmandu, Nepal
Keywords
Air embolism, Anesthesia, Endourology, Persistent cough