Clinical features of venous air embolism and its correlation with cough in deep brain stimulation surgery
10.3969/j.issn.1006-5725.2016.15.026
- VernacularTitle:脑深部电刺激术中静脉空气栓塞的临床特征及其与咳嗽的相关性
- Author:
Junju LI
;
Lin SHI
;
Chaocai ZHANG
;
Guanyu ZHU
;
Yingchuan CHEN
;
Jianguo ZHANG
- Publication Type:Journal Article
- Keywords:
Venous air embolism;
Deep brain stimulation;
Cough;
Tremor
- From:
The Journal of Practical Medicine
2016;32(15):2504-2507
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical features of VAE and to assess the predictive value of VAE cough. Methods We retrospectively reviewed the medical records of 461 consecutive patients who underwent DBS surgery at Beijing Tiantan Hospital. Patients with VAE manifestation were enrolled in this study. The clinical features, operative courses, post-operative conditions and treatment of these patients were analyzed. The correlation between intraoperative tremor intensity , cough duration and prognosis was also investigated. Results Among 461 patients,10 (2.2%) were found with evidence of VAE, including cough, dyspnea, decreased O2 saturation (SO2). Statistical analyses revealed that severe cough was associated with greater age , a longer coughing time, more intensive tremor, greater influence, and a longer length of stay (P < 0.05, rspectively). Conclusions Early recognition and prompt management of VAE are essential to prevent unfavorable consequences. Cough intensity might be a useful tool for evaluating VAE and its prognosis , which is helpful for neurosurgeons to decide on the subsequent maneuvers.
