{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:26:20Z","timestamp":1757453180334},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T00:00:00Z","timestamp":1478736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec><jats:title>Case<\/jats:title><jats:p>A 44\u2010year\u2010old man intentionally stabbed himself in the anterior neck and left thorax with a fruit knife. Physical examination revealed two open wounds entering the thoracic cavity in the front chest, and a stab wound entering the trachea at the neck. Two chest tubes were initially inserted for the left lung injury with open hemopneumothorax. Nevertheless, the worsening oxygenation required positive pressure ventilation (<jats:styled-content style=\"fixed-case\">PPV<\/jats:styled-content>) with endotracheal intubation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcome<\/jats:title><jats:p>Right hemiparesis was found during weaning from <jats:styled-content style=\"fixed-case\">PPV<\/jats:styled-content>. Magnetic resonance imaging revealed multiple infarctions in the area of the bifrontal and right temporal lobes. Cerebral air embolism (<jats:styled-content style=\"fixed-case\">CAE<\/jats:styled-content>) was strongly suspected from the imaging findings and clinical course.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We concluded that mechanical ventilation was strongly involved in the occurrence of <jats:styled-content style=\"fixed-case\">CAE<\/jats:styled-content>. If delayed abnormal neurological findings are observed in patients with penetrating lung injuries receiving <jats:styled-content style=\"fixed-case\">PPV<\/jats:styled-content> management, <jats:styled-content style=\"fixed-case\">CAE<\/jats:styled-content> should be considered.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.250","type":"journal-article","created":{"date-parts":[[2016,11,10]],"date-time":"2016-11-10T14:40:25Z","timestamp":1478788825000},"page":"213-216","source":"Crossref","is-referenced-by-count":4,"title":["Cerebral air embolism associated with penetrating lung injury: a case report and review of the literature"],"prefix":"10.1002","volume":"4","author":[{"given":"Ayumu","family":"Yamaoka","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Miyata","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eichi","family":"Narimatsu","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eiji","family":"Sakawaki","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonoko","family":"Sakawaki","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suguru","family":"Hirayama","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuji","family":"Uemura","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoya","family":"Yama","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Sapporo Medical University Sapporo Hokkaido Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,11,10]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199902000-00033"},{"key":"e_1_2_6_3_1","first-page":"267","article-title":"Post\u2010traumatic cerebral air embolism. 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