A Case of Air Embolism during Transoral Vestibular Endoscopic Thyroidectomy

Background: Carbon dioxide (CO2) embolism is a rare but potentially life-threatening complication of endoscopic surgery. While thyroidectomy superior to traditional open in terms cosmetic results, it may lead venous or fatal paradoxical CO2 embolism. involves the inadvertent injection carbon into large vein, artery, solid organ. The clinical manifestations can vary from asymptomatic neurological damage, cardiac failure, and even death, depending on rate volume entry patient’s general condition. This case enhance our understanding embolization during Case Presentation: report describes an incident which gas occurred right lobe isthmus thyroidectomy, resulting arrhythmia dramatic fluctuations circulation oxygen levels. operation was halted, stopped. surgical wound covered with saline gauze, patient inhaled 100% pure while undergoing aggressive repeated manual pulmonary recruitment maneuvers. Additionally, vasoactive drugs such as m-hydroxyamine ephedrine were administered aid treating position adjusted using Durant maneuver (partial left lateral Trendelenburg position). Following aforementioned treatments, ventricular transitioned back normal regular sinus rhythm, both levels stabilized. Conclusions: uncommon yet severe laparoscopic procedures. We anticipate that this particular will comprehension