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Which procedure has the common complication of venous-sided air embolism?

User Equanimity
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Final answer:

A common complication of certain medical procedures, such as central venous catheter insertion, is venous-sided air embolism, which can cause serious consequences like obstructive shock or cardiac arrest.

Step-by-step explanation:

A common complication of medical procedures involving the venous system is a venous-sided air embolism. This occurs when air enters the venous system and travels to the heart or lungs, causing obstruction of blood vessels. One of the procedures with this known risk is the central venous catheter insertion. The complication arises when air enters the venous circulation during the removal or manipulation of the catheter or if the system is left open to air. A similar risk exists with other procedures like neurosurgery when operating in a sitting position, or during the insertion of a peripherally inserted central catheter (PICC line).

A venous-sided air embolism can result in serious consequences, such as obstructive shock or cardiac arrest, due to the interference with pulmonary circulation or direct cardiovascular effects. Immediate management includes placing the patient in the left lateral decubitus position or Trendelenburg position to trap air in the apex of the heart, giving supportive treatment, and administering hyperbaric oxygen therapy if available.

It is important to be vigilant during procedures that have the potential to introduce air into the venous system to prevent this life-threatening complication.

User Adam Morris
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