Called to bedside as patient deteriorated rapidly during internal jugular central line removal.Patient became stuporous and with agonal breathing, severe hypoxemia ensued and supported him with ambu bag and 100% oxygen immediately.Eyes were noted to be fixed and deviated to upper left and unresponsive to stimuli.Patient then started to breathe spontaneously with normal respiratory effort but remained comatose.Bedside echocardiography revealed significant amount of air bubbles in the right heart.Patient remained comatose through this procedure but started to slowly respond to voice commands, corneal reflexes present and attempts to make spontaneous movements followed.
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