Carbon Dioxide Embolism Resulting From Liver Laceration During Peritoneal Optical Trocar Entry.

Autor: Lin AC; General and Colorectal Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA., Olecki EJ; General Surgery, Penn State College of Medicine, Hershey, USA., Good ML; General and Colorectal Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA., Cowart C; Anesthesia, Penn State Health Milton S. Hershey Medical Center, Hershey, USA., Scow JS; Colorectal Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, USA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2022 Aug 18; Vol. 14 (8), pp. e28132. Date of Electronic Publication: 2022 Aug 18 (Print Publication: 2022).
DOI: 10.7759/cureus.28132
Abstrakt: Venous air emboli have been reported to occur in numerous settings, including trauma, various surgical procedures, both laparoscopic and radiologically, and even idiopathically. In this case study, a liver laceration was made during a robot-assisted left colectomy and colostomy in a 69-year-old female resulting in air embolism during insufflation. A drop in end-tidal CO 2 was noted and the patient went into immediate cardiac arrest. Adequate pressure was applied and over-suturing of the liver laceration was made with reverse Trendelenburg positioning during the administration of cardiopulmonary resuscitation (CPR) for approximately one minute. The patient completed an open hemicolectomy the following day and made a complete recovery. Preventative and intraoperative measures to prevent further recurrences of venous air emboli are discussed.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2022, Lin et al.)
Databáze: MEDLINE
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