Air embolus associated with tubal insufflation
| Autor: | Dan C. Martin, Jon Adcock |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Insufflation
Adult medicine.medical_specialty medicine.medical_treatment Fallopian Tube Patency Tests Air embolus Pneumoperitoneum medicine Embolism Air Humans Embolization Laparoscopy Syringe medicine.diagnostic_test business.industry Air Obstetrics and Gynecology Carbon Dioxide medicine.disease Surgery body regions Embolism Cohen cannula Anesthesia Female business Pneumoperitoneum Artificial |
| Zdroj: | The Journal of the American Association of Gynecologic Laparoscopists. 6(4) |
| ISSN: | 1074-3804 |
| Popis: | A patient underwent laparoscopy for a rectovaginal mass, dysmenorrhea, and infertility. After CO(2) pneumoperitoneum was established the laparoscope was placed without difficulty. Before the procedure was completed, the tubes were insufflated with air through a 20-ml syringe attached to a Cohen cannula. Tubes were patent. No other intraabdominal manipulation was performed at that time. During tubal insufflation the patient's end-tidal CO(2) decreased to 18%, partial pressure of oxygen decreased to 83%, and pulse increased to 130/minute. The CO(2) pneumoperitoneum was released, and the woman stabilized spontaneously. The CO(2) pneumoperitoneum was again established, with no further difficulty. The time relationship with tubal insufflation and lack of recurrence on reestablishing pneumoperitoneum suggest that air embolization during tubal insufflation occurred. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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