Correct!
3. Supine positioning

Wherever the air in the sort ends up, nothing good will result. Most clinicians and patients would probably want to avoid stroke and air in the brain, or carotid circulation compared air in the peripheral arterial circulation. Supine positioning is favored over Trendelenburg positioning given arterial blood flow is more forceful than venous blood flow and air bubbles are propelled forward by the arterial blood despite head down positioning.

The usual thought that many critical care physicians may consider, is to place the patient in the left side down, feet up position. This is the mantra for venous air embolism from placing a central line in the superior vena cava or internal jugular veins, and is hoped that such a position will keep the air emboli away from the right ventricular outflow tract and lung, long enough to break up or be aspirated by an adventurous critical care fellow or experience IR/cardiologist.

What is a definitive therapy for such a complication once the patient has been stabilized? (Click on the correct answer to be directed to the fifth of six pages)

  1. Anticoagulation
  2. Aspiration of air
  3. Chest compressions
  4. Hyperbaric oxygen therapy
  5. Supportive therapy

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