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Year : 2016  |  Volume : 3  |  Issue : 3  |  Page : 121-123

Air embolism during hysteroscopy: Case report of a catastrophic event

1 Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
2 Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Sciences and Research, Chandigarh, India

Correspondence Address:
Bhavana Girish
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi - 110 049
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2348-2907.204668

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Diagnostic hysteroscopy is one of the most commonly performed procedures in the evaluation of infertility. Air embolism is an extremely rare but catastrophic and often fatal complication occurring during hysteroscopy. We present a patient who developed massive air embolism during diagnostic hysteroscopy performed under general anesthesia. During the procedure, she developed sudden onset desaturation followed by cardiac arrest. The procedure was immediately stopped, cardiac massage and inotropic support were started, and the patient was shifted to the Intensive Care Unit on ventilator support. Positive end-expiratory pressure and heparin for emboli, midazolam for brain protection, and inotropes were administered. Despite extensive resuscitative efforts, the patient died 4 h after the event.

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