Cardiac air transit following venous air embolism and right ventricular air aspiration

Anaesthesia. 2009 Jul;64(7):754-61. doi: 10.1111/j.1365-2044.2009.05936.x.

Abstract

Using intra-cardiac echocardiography in anaesthetised swine we tested the hypotheses that embolised air (i) passes immediately through the right atrium into the ventricle; (ii) persists in the right ventricle for a long time; (iii) is detectable for longer within the right ventricle or main pulmonary artery than the right atrium, and (iv) right ventricular aspiration recovers more air than right atrial aspiration. Following intravenous injection of different air volumes the air appeared in the right atrium in a mean (95% CI) of 3 s (2.5-3.5 s) and almost simultaneously in the right ventricle after 5 s (3.9-6.0 s), but air persisted for longer in the right ventricle (420 s; (367-473 s)) and pulmonary artery (541 s; (475-606 s)) than in the right atrium (404 s (353-457 s)), particularly with larger air volumes and in the semi-upright position. More air was recovered via a right ventricular catheter than an atrial catheter (52% vs 25%, p < 0.01).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Air Movements
  • Animals
  • Coronary Circulation
  • Disease Models, Animal
  • Embolism, Air / diagnostic imaging*
  • Embolism, Air / physiopathology
  • Embolism, Air / therapy
  • Heart Atria / diagnostic imaging
  • Heart Atria / physiopathology
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / physiopathology
  • Male
  • Posture / physiology
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / physiopathology
  • Suction / methods
  • Sus scrofa
  • Ultrasonography