Journal of clinical anesthesia
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We describe a case where massive air embolism occurred while infusing fluid under pressure with a pressurized infusion system, with fluid bags which contained volumes of air from the manufacturer. We suggest that anesthesiologists be meticulous in de-airing the infusion bag before connecting it to the intravenous infusion system. Also, if the manufacturers of crystalloid solutions would produce their product devoid of air, then this inherent risk would be substantially decreased.
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To evaluate the hemodynamic response in the prone position in surgical patients by measuring the effects of prone positioning on cardiac function using transesophageal echocardiography (TEE). ⋯ The prone position caused LVV to decrease. The prone position also led to decreased systolic PVFV and PVVTI and enhancement of diastolic PVFV and PVVTI. These changes were probably due to a decrease in the venous return due to inferior vena caval compression, and decreased left ventricular compliance due to increased intrathoracic pressure in the prone position.