Hyperbaric treatment of arterial CO2 embolism occuring after laparoscopic surgery: a case report.
نویسندگان
چکیده
Arterial carbon dioxide (CO2) embolism is a serious and sometimes fatal iatrogenic medical condition encountered in surgery. A thirty-five year old Caucasian female developed a CO2 embolism during a laparoscopic appendectomy. After initial resuscitation and completion of the surgery, she was treated with hyperbaric oxygen (HBO2) to help reduce the size of large CO2 bubbles that had migrated into her left ventricle during surgery. The HBO2 protocol was 2.8 atmospheres for 90 minutes, which resolved the problem with no adverse effects.
منابع مشابه
[Carbon dioxide embolism during laparoscopic surgery: case report.].
BACKGROUND AND OBJECTIVES Carbon dioxide gas embolism is an uncommon but potentially lethal complication of laparoscopic surgery. Our report aimed at describing a case of pulmonary carbon dioxide embolism with favorable evolution. CASE REPORT Hypertensive patient was submitted to laparoscopic surgery under general anesthesia due to cholelithiasis. After 150 minutes of pneumoperitoneum, patien...
متن کاملResuscitation by hyperbaric exposure from a venous gas emboli following laparoscopic surgery
Venous gas embolism is common after laparoscopic surgery but is only rarely of clinical relevance. We present a 52 year old woman undergoing laparoscopic treatment for liver cysts, who also underwent cholecystectomy. She was successfully extubated. However, after a few minutes she developed cardiac arrest due to a venous carbon dioxide (CO2) embolism as identified by transthoracic echocardiogra...
متن کاملCarbon Dioxide Embolism Following Veress Needle Insertion Into the Liver During Laparoscopic Adrenalectomy
Although rare, complications can arise during the establishment of pneumoperitoneum during laparoscopic surgery. These include injury to blood vessels, hollow viscera, solid organs, and CO2 embolism. We report a case of trauma to the liver following the insertion of a Veress needle causing CO2 embolism during laparoscopic adrenalectomy. Opening pressures on insertion were high. Respiratory and ...
متن کاملParadoxical carbon dioxide embolism during laparoscopic unroofing of a recurrent nonparasitic liver cyst.
C arbon dioxide (CO2) embolism is a rare but severe complication of laparoscopic surgery. It has been reported during laparoscopic cholecystectomy and hepatic resections. In open hepatic surgery, patients with intrapulmonary or intracardiac arteriovenous communications (i.e., patent foramen ovale [PFO]) are at risk for paradoxical air embolism, as air can pass into the systemic circulation. We ...
متن کاملRetrograde cerebral perfusion and delayed hyperbaric oxygen for massive air embolism during cardiac surgery.
We report a case of massive air embolism from a ventricular vent line during cardiac surgery successfully treated with emergent retrograde cerebral perfusion and delayed hyperbaric oxygen therapy. The etiologies of this rare but potentially devastating complication are discussed along with prevention and treatment options.
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc
دوره 33 5 شماره
صفحات -
تاریخ انتشار 2006