Fatal air embolism during intestinal endoscopy in Kasai portoenterostomy for biliary atresia: A case report

Table 1 Timeline of patient’s course

Timeline	Patient’s course
HOD 1	Admission for jaundice and stone at KPE site
HOD 6	MRCP
HOD 11	Attempted PTBD, but the procedure failed due to the patient's uncooperativeness
HOD 16, 08:40 AM	Operation starts
12:00 PM	Intraoperative endoscopy insertion
12:03 PM	Arrhythmia, hypotension, bradycardia
12:10 PM	Asystole, CPR start
13:07 PM	ECMO insertion, compression stop
15:15 PM	Operation end, the patient was sent to ICU
17:10 PM	The patient expired.

KPE: Kasai portoenterostomy; HOD: Hospital day; MRCP: Magnetic resonance cholangiopancreatography; PTBD: Percutaneous transhepatic biliary drainage; CPR: Cardiopulmonary resuscitation; ECMO: Extracorporeal membrane oxygenation; ICU: Intensive care unit.