Rescue Transesophageal Echocardiography for the Diagnosis and Management of Paradoxical Carbon Dioxide Embolism With Hemodynamic Compromise During Laparoscopic Surgery

2013 ◽  
Vol 27 (3) ◽  
pp. e23-e24 ◽  
Author(s):  
Jonah H. Patel ◽  
Trevor J. Szymanski ◽  
Elise C. Metzler ◽  
Andrea H. Worthington ◽  
Simon C. Body ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Laparoscopic Surgery ◽  
Transesophageal Echocardiography ◽  
Diagnosis And Management ◽  
Hemodynamic Compromise ◽  
Carbon Dioxide Embolism ◽  
Dioxide Embolism

Detection of Carbon Dioxide Embolism Using Transesophageal Echocardiography during Thoracoscopic Sympathicotomy

2006 ◽  
Vol 50 (2) ◽  
pp. 173 ◽  
Author(s):  
Chung Hyun Park ◽  
Jong Yun Lee ◽  
Yong Chan Kim ◽  
Seung Ho Kim ◽  
Keum Hee Jung ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Transesophageal Echocardiography ◽  
Carbon Dioxide Embolism ◽  
Dioxide Embolism

Paradoxical carbon dioxide embolism during endoscopic thyroidectomy confirmed by transesophageal echocardiography

2010 ◽  
Vol 24 (5) ◽  
pp. 774-777 ◽  
Author(s):  
Seong-Hyop Kim ◽  
Kyoung-Sik Park ◽  
Hwa-Yong Shin ◽  
Jun-Hee Yi ◽  
Duk-Kyung Kim
Keyword(s):  
Carbon Dioxide ◽  
Transesophageal Echocardiography ◽  
Endoscopic Thyroidectomy ◽  
Carbon Dioxide Embolism ◽  
Dioxide Embolism

scholarly journals Paradoxical Carbon Dioxide Embolism During Pneumoperitoneum in Laparoscopic Surgery for a Huge Renal Angiomyolipoma

2008 ◽  
Vol 71 (4) ◽  
pp. 214-217 ◽  
Author(s):  
Yu-Yin Huang ◽  
Hsin-Lun Wu ◽  
Mei-Yung Tsou ◽  
Hsiao-Jen Zong ◽  
Wan-You Guo ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Laparoscopic Surgery ◽  
Renal Angiomyolipoma ◽  
Carbon Dioxide Embolism ◽  
Dioxide Embolism

scholarly journals Carbon Dioxide Embolism during Laparoscopic Surgery

2012 ◽  
Vol 53 (3) ◽  
pp. 459 ◽  
Author(s):  
Eun Young Park ◽  
Ja-Young Kwon ◽  
Ki Jun Kim
Keyword(s):  
Carbon Dioxide ◽  
Laparoscopic Surgery ◽  
Carbon Dioxide Embolism ◽  
Dioxide Embolism

scholarly journals Early Detection is Vital in Successful Resuscitation after Massive Mixed-air and Carbon dioxide Venous Embolism during Laparoscopic Surgery

2020 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Carbon Dioxide ◽  
Laparoscopic Surgery ◽  
Right Ventricular Outflow Tract ◽  
Air Embolism ◽  
Ventricular Outflow Tract ◽  
Successful Resuscitation ◽  
Carbon Dioxide Embolism ◽  
Threatening Condition ◽  
End Tidal ◽  
Dioxide Embolism

Air embolism is a life threatening condition, which is commonly reported in sitting position surgery or when the venous sinuses are open. Symptoms may appear depending on volume of air entrained and rate of entrainment. Lung acts as a filter and if the area exposed is more than the critical volume, then ventilation – perfusion (V/Q) mismatch leads to hypoxia and ultimately death. In contrast, carbon dioxide in large volume, lead to right ventricular outflow tract (RVOT) obstruction and reduce cardiac output. In people with probe patent patent foramen ovale, this can reach left atrium and lead to systemic embolism. Laparoscopic surgery, in general is safe and in situations, where there is abnormal organ placement and arterio venous connection may lead to gas placement into circulation. Detection is by trans esophageal echocardiography, precordial doppler, end tidal carbon dioxide monitoring and pulse oximetry. We present one such case with altered anatomy leading to ptosis of liver and massive mixed air and carbon dioxide embolism, which was successfully re-suscitated. Keywords: Air embolism; Carbon dioxide embolism; Laparoscopy.

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