Abstract
As an aid to correctly placing the needle tip within the hip joint during arthrography, injection of small amounts of air has been used to outline the joint space. Over a period of seven years, air embolus has been noted in three pediatric patients, twice with minor symptoms, and once with cardiac arrest.
Even small amounts of air (less than 5 cc) injected accidentally intravenously may cause dangerous complications in small infants. If this technique is to be used, it is recommended that small amounts of carbon dioxide or oxygen be used instead of air.
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Coren, G.S., Curtis, J., Dalinka, M.: Lymphatic visualization during hip arthrography. Radiology 115, 621 (1975)
Darling, D.B.: Hip arthrography in radiology of infants and children, 3rd edn., p. 365. Springfield: Charles C. Thomas
Durant, T.M., Long, J., Oppenheimer, M.J.: Pulmonary (venous) air embolism. Am. Heart J. 33, 269 (1947)
Freiberger, R.H., Killoran, P.J., Cardona, G.: Arthrography of the knee by double contrast method. Am. J. Roentgenol. 97, 736 (1966)
Gronert, G.A., Messick, J.M., Cucchiaria, R.F., Michenfelder, J.D.: Paradoxical air embolus in a patient via foramen ovale. Anesthesiology 50, 548 (1979)
Kleinberg, S.: Pulmonary embolism following oxygen injection of a knee. JAMA 89, 172 (1927)
Lucas, C.E., Farrokh, I.: Air embolus via subclavian catheter. N. Engl. J. Med. 281, 966 (1969)
Mink, J.H., Dickerson, R.: Air or carbon dioxide for knee arthrography? Am. J. Roentgenol. 134, 991 (1980)
Munson, E.S., Merrick, D.C.: Effect of nitrous oxide on venous air embolism. Anesthesiology 27, 282 (1966)
Nysten, P.: Recherches de physiology et de chemie pathologique, Paris 1811
Ozonoff, M.B.: Controlled arthrography of the hip: A technique of fluoroscopic monitoring and recording. Clin. Orthop. 93, 260 (1973)
Paul, R.E., Durant, T.M., Oppenheimer, M.J., Stanffer, H.M.: Intravenous carbon dioxide for intracardiac gas contrast in the roentgen diagnosis of pericardial effusion and thickening. Am. J. Roentgenol. 78, 224 (1957)
Schwartz, A.M., Goldberg, M.J.: Hip arthrography in children. Skeletal Radiol. 3, 155 (1978)
Spencer, F.C., Rossi, N.P., Yu, S.C., Koepke, J.A.: The significance of air embolism during cardiopulmonary bypass. J. Thorac. Cardiovasc. Surg. 49, 615 (1965)
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McCauley, R.G.K., Wunderlich, B.K. & Zimbler, S. Air embolism as a complication of hip arthrography. Skeletal Radiol. 6, 11–13 (1980). https://doi.org/10.1007/BF00347340
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DOI: https://doi.org/10.1007/BF00347340