Indian Journal of Critical Care Medicine

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VOLUME 17 , ISSUE 3 ( June, 2013 ) > List of Articles

CASE REPORT

Successful resuscitation after suspected carbon dioxide embolism during laparoscopic ureteric reconstructive surgery

Veena R. Shah, Kalpana S. Vora, Geeta P. Parikh, Pranjal R. Modi

Keywords : Carbon dioxide embolism, end-tidal carbon dioxide monitoring, laparoscopy

Citation Information : Shah VR, Vora KS, Parikh GP, Modi PR. Successful resuscitation after suspected carbon dioxide embolism during laparoscopic ureteric reconstructive surgery. Indian J Crit Care Med 2013; 17 (3):190-191.

DOI: 10.4103/0972-5229.117081

License: CC BY-ND 3.0

Published Online: 00-06-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Carbon dioxide (CO2) embolism is a rare but potentially fatal complication of laparoscopic surgery. We report a case of presumed CO2 embolism in a 35-year-old female during laparoscopic ureteric reconstructive surgery. After 2 h of operating time, a sudden decrease in end-tidal carbon dioxide and deterioration of hemodynamic status followed by cardiac arrest with pulseless electrical activity suggested gas embolism. Immediate cardiopulmonary resuscitation and inotropic support resulted in successful outcome. Thus, early recognition of the complication and prompt treatment can avoid catastrophy.


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