Evidence map›Paper›PMID 30115713›Full record

ArticleBMJ case reports2018

Cerebral air embolism from a Central Venous Catheter: A timely reminder of the importance of rapid diagnosis.

Muhammad Farhan Khaliq, Maria Shoaib, Syed Maaz Tariq, Muhammad Taimoor Khan

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. [Cerebral gas embolism as a complication of diffuse interstitial lung disease]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Muhammad Farhan KhaliqDepartment of Internal Medicine, CAMC Health System, Charleston, West Virginia, USA.ORCID http://orcid.org/0000-0001-7618-4289
Maria ShoaibDepartment of Neurology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.ORCID http://orcid.org/0000-0001-6425-5959
Syed Maaz TariqJinnah Sindh Medical University, Karachi, Sindh, Pakistan.ORCID http://orcid.org/0000-0002-1778-2606
Muhammad Taimoor KhanDepartment of Neurology, CAMC Health System, Charleston, West Virginia, USA.
CAMC Health Education and Research Institute · USCharleston Area Medical Center · USJinnah Sindh Medical University · PKUniversity of Oklahoma Health Sciences Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral air embolism (CAE) is a rare, avoidable and potentially fatal iatrogenic complication. Here, we report a case of CAE associated with a central venous catheter in the internal jugular vein that resulted in neurological deficits and generalised epileptic seizures. A 64-year-old man admitted for fasciotomy for compartment syndrome developed CAE with left-sided neurological deficits. The suspected origin was retrograde air flow from the right internal jugular venous catheter. The air spontaneously resorbed without the need for specific therapy, and he made a good recovery. CAE is an infrequent iatrogenic complication that requires prompt diagnosis to avoid significant morbidity and mortality. This case serves as a timely reminder that adverse outcome such as stroke, seizures or death can be avoided by a high index of suspicion and prompt diagnosis. Hyperbaric oxygen is the prime therapeutic measure, but high-quality evidence on its clinical value is lacking.

Indexed as

Catheterization, Central VenousCentral Venous CathetersEmbolism, AirHumansIntracranial EmbolismJugular VeinsMagnetic Resonance ImagingMaleMiddle AgedTomography, X-Ray Computedadult intensive caremechanical ventilationneurologyrespiratory system

Identifiers

PMID30115713
PMCPMC6101344
OpenAlexW2887354314

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.