ReviewAnnals of gastroenterology
Gas embolism during endoscopic retrograde cholangiopancreatography: diagnosis and management.
Review in Annals of gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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.
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.
Who cites it
18 citing papers in PubMed, 23 citations in OpenAlex.
- Fatal air embolism caused by air entry into the cardiopulmonary bypass circuit during minimally invasive atrial septal defect repair: a case report.Frontiers in cardiovascular medicine · 2025Article
- Systemic air embolism associated with endoscopic retrograde cholangiopancreatography: A case report.World journal of gastrointestinal endoscopy · 2024Article
- Gas Embolism Complicating Endoscopic Retrograde Cholangiopancreaticography: Case Report of a Complex Condition.Cureus · 2024Article
- Analysis of Tomographic Images of a Catastrophic Gas Embolism during Endoscopic Retrograde Cholangiopancreatography.Diagnostics (Basel, Switzerland) · 2024Article
- Cerebral Air Embolism After Endoscopy: A Case Report.Clinical practice and cases in emergency medicine · 2024Article
- Gas Embolism After a Patient's Ninth ERCP Procedure.ACG case reports journal · 2023Article
- Fatal Venous Gas Embolism During Endoscopic Retrograde Cholangiopancreatography After Simultaneous Deployment of 2 Self-Expandable Metallic Stents.ACG case reports journal · 2022Article
- Translation from manual to automatic endoscopic insufflation enhanced by a pressure limiter.Surgical endoscopy · 2022Article
- Suspected cerebrovascular air embolism during endoscopic esophageal varices ligation under sedation with fatal outcome: A case report.World journal of clinical cases · 2022Article
- Endo-anesthesia: a primer.Gastroenterology report · 2022Review
- Anesthesia for Advanced Endoscopic Procedures.Clinical endoscopy · 2022Review
- A case of posterior reversible encephalopathy syndrome during endoscopic retrograde cholangiopancreatography after anesthesia.Gastroenterology and hepatology from bed to bench · 2022Article
- [Intraoperative vascular air embolism : Evidence for risks, diagnostics and treatment].Der Anaesthesist · 2021Review
- Cerebral Air Embolism After Gastrointestinal Procedure: A Case Report and Literature Review.Journal of medical cases · 2021Article
- Air embolism of right coronary artery after ERCP.BMJ case reports · 2020Article
- Clinical Presentation, Diagnosis, and Management of Air Embolism During Endoscopic Retrograde Cholangiopancreatography.Gastroenterology research · 2019Review
- When in Trouble Think of the Bubble: Paradoxical Cerebral Arterial Gas Embolism after Endoscopic Retrograde Cholangiopancreatography.Case reports in gastroenterologyArticle
- Critical Analysis of Guidelines for Providing Sedation to Patients Undergoing Gastrointestinal Endoscopy Procedures.Anesthesia, essays and researchesReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Air embolism is rarely diagnosed and is often fatal. The diagnosis is often not made in a timely manner given the rapid and severe clinical deterioration that often develops, frequently leading to cardiac arrest. Many patients are only diagnosed post-mortem. With the increasing use of endoscopic retrograde cholangiopancreatography, air embolism should be considered in the differential diagnosis in patients who experience sudden clinical deterioration during or immediately after the procedure. Clinical suspicion is key in the diagnosis and management of air embolism. Use of precordial Doppler ultrasound and transesophageal echocardiogram can aid in the diagnosis of air embolism. Once the diagnosis is made, supportive management of airway, breathing and circulation is pivotal. Advanced cardiac life support should be initiated when necessary. Fluid resuscitation and vasopressors can improve cardiac output. Hyperbaric oxygen therapy should be considered when possible in cases of suspected cerebral air embolism cases to improve neurological outcome. A multidisciplinary team approach and effective communication with experts, potentially including an anesthesiologist, cardiologist, intensivist, radiologist and surgeon, can improve the outcome in air embolism.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.