RESUMO
Background: in Recent years, general application of laparoscopic surgeries increases due to the improvement of laparoscopic instruments and techniques which in the other hand has its own complications
Case presentation: the case was a 32 year old woman that was candidated for laparoscopic Cholecystectomy. By the initiation of surgeon's work, ET[CO2] suddenly switches from 37 mmHg to 15 mmHg and made the patient to had progressive bradycardia and consequently cardiac arrest. Cardiac massage immediately initiates and advanced resuscitation continued. Fortunately, the resuscitation process was successful and therapeutic interventions for complete recovery and preventing from neurological defects was continued. Currently, the patient has not have any sensory or movement disorders
Conclusions: hydrating the patient, good positioning during the operation and complete patient monitoring are the essential principles for preventing such complication