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Vascular air embolism (VAE) is an unprecedented yet conceivably disastrous occasion that happens as a result of the entrance of air into the vasculature. Most reports on the topic of VAE deal primarily with surgical procedures where the operative site is above the level of the heart.[1] Accidental administration of air while using a pressure infuser bag is rare. We are reporting an unfortunate case of intra-operative air embolism leading to cardiovascular collapse.

A 55-year-old female diagnosed as a case of ovarian carcinoma and planned for debulking gynecological surgery. We did induction of anesthesia with thiopentone sodium 150 mg and trachea was intubated after succinylcholine 75 mg. Anesthesia was maintained with isoflurane 1-1.5% in O 2/N 2 O and intravenous (IV) morphine was used in increments for intra-operative analgesia. Due to anticipated prolonged surgery and blood loss, another IV cannula …