Cardiac arrest associated with carbon dioxide gas embolism during laparoscopic surgery for colorectal cancer and liver metastasis: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 469-472, 2012.
Artículo
en Inglés
| WPRIM
| ID: wpr-227531
ABSTRACT
Clinically apparent carbon dioxide (CO2) gas embolism is uncommon, but it may be a potentially lethal complication if it occurs. We describe a 40-year-old woman who suffered a CO2 gas embolism with cardiac arrest during laparoscopic surgery for colorectal cancer and liver metastasis. Intra-abdominal pressure was controlled to less than 15 mmHg during CO2 gas pneumoperitoneum. The right hepatic vein was accidentally disrupted during liver dissection, and an emergent laparotomy was performed. A few minutes later, the end-tidal CO2 decreased, followed by bradycardia and pulseless electrical activity. External cardiac massage, epinephrine, and atropine were given promptly. Ventilation with 100% oxygen was started and the patient was moved to the Trendelenburg position. Two minutes after resuscitation was begun, a cardiac rhythm reappeared and a pulsatile arterial waveform was displayed. A transesophageal echocardiogram showed air bubbles in the right pulmonary artery. The patient recovered completely, with no cardiopulmonary or neurological sequelae.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Oxígeno
/
Neumoperitoneo
/
Arteria Pulmonar
/
Resucitación
/
Atropina
/
Ventilación
/
Bradicardia
/
Carbono
/
Dióxido de Carbono
/
Neoplasias Colorrectales
Límite:
Adulto
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Korean Journal of Anesthesiology
Año:
2012
Tipo del documento:
Artículo
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