{
  "abstract": "Endoscopic retrograde cholangiopancreatography (ERCP) is a generally performed procedure for biliary pathology. Although usually safe, air embolism is an exceptionally rare but potentially fatal complication. We report the case of a 79-year-old female (ASA II) with a history of dyslipidemia and obesity, who presented for elective ERCP and biliary stent removal. She had previously undergone ERCP and open cholecystectomy for choledocholithiasis. During this time, sedation was administered by using fentanyl, midazolam, and propofol via target-controlled infusion. The procedure was initially uneventful; however, at its conclusion, the patient developed sudden desaturation, bradycardia, and a reduced level of consciousness. Computed tomography (CT) imaging revealed multiple cerebral air emboli. Despite intensive care management and ventilatory support, the patient deteriorated and died 2 days later. This case highlights the importance of maintaining vigilance for air embolism, even in seemingly straightforward ERCP procedures, especially in elderly patients. Early recognition and immediate management are vital to improving outcomes.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Surgery University of Jaffna Jaffna Sri Lanka jfn.ac.lk.",
    "Teaching Hospital Jaffna Jaffna Sri Lanka thjaffna.lk."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Bavani Senthuran",
      "orcid": "0009-0001-9210-4151"
    },
    {
      "affs": [
        1
      ],
      "name": "A Arulmurali"
    },
    {
      "affs": [
        1
      ],
      "name": "Anuratha Kajendran",
      "orcid": "0009-0002-4269-8673"
    },
    {
      "affs": [
        0
      ],
      "name": "Thishanthini Vijayacumar",
      "orcid": "0009-0000-6481-1089"
    },
    {
      "affs": [
        0
      ],
      "name": "Shathana Paramanathan",
      "orcid": "0000-0003-1006-9186"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1jy6t7hrjxcye.bib",
  "cited_by": 0,
  "doi": "10.1155/cria/6740961",
  "fulltext_url": "https://europepmc.org/articles/PMC13743632",
  "id": "1jy6t7hrjxcye",
  "issns": [
    "2090-6382",
    "2090-6390"
  ],
  "landing_url": "https://europepmc.org/article/MED/42999672",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2715|Gallbladder and Bile Duct Disorders"
    ]
  ],
  "openalex": "W7225461174",
  "pdf_url": "https://europepmc.org/articles/PMC13743632?pdf=render",
  "pmcid": "PMC13743632",
  "pmid": "42999672",
  "published": "2026-11-06",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/1jy6t7hrjxcye.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42999672",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42999672"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2715|Gallbladder and Bile Duct Disorders",
      "subfield": "general"
    }
  ],
  "title": "Cerebral Air Embolism Following Endoscopic Retrograde Cholangiopancreatography Stent Removal: A Rare and Fatal Complication.",
  "title_text": "Cerebral Air Embolism Following Endoscopic Retrograde Cholangiopancreatography Stent Removal: A Rare and Fatal Complication.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/1jy6t7hrjxcye",
  "venue": "Case reports in anesthesiology",
  "versions": []
}