scholarly journals Cardiac Arrest due to Carbon Dioxide Embolism During Laparoscopic Gynecologic Surgery of a Patient with Previous Abdominal Surgery: A Case Report

2021 ◽  
Vol 27 (2) ◽  
pp. 103-105
Author(s):  
Nan Seol Kim
Keyword(s):  
Carbon Dioxide ◽  
Cardiac Arrest ◽  
Abdominal Surgery ◽  
Gynecologic Surgery ◽  
Previous Abdominal Surgery ◽  
Carbon Dioxide Embolism ◽  
Increased Risk ◽  
Laparoscopic Gynecologic Surgery ◽  
End Tidal ◽  
End Tidal Co2

Catastrophic carbon dioxide (CO2) embolism is a rare, but potentially life-threatening, the complication of laparoscopic gynecologic surgery. We report the case of a healthy 53-year-old woman who developed CO2 embolism and cardiac arrest during laparoscopic surgery. She had a history of two cesarean sections and had extensive peritoneal adhesions. After placement of the trocar and insufflation of CO2, end-tidal CO2 dropped from 35 to 15 mm Hg, and the patient had a cardiovascular collapse. In this patient, CO2 embolism was diagnosed on the basis of a sudden decrease in end-tidal CO2, hypotension, and hypoxemia. The patient was managed quickly and aggressively. The patient recovered completely following the treatment for CO2 embolism, with no cardiopulmonary or neurological sequelae. There is an increased risk of catastrophic CO2 embolism during laparoscopic gynecologic surgery in patients with previous abdominal surgery. Therefore, the surgeon and anesthesiologist should remain vigilant to promote early detection of CO2 embolism.

scholarly journals Volumetric Capnometry, more than end-tidal carbon dioxide

2021 ◽  
Vol 2 (3) ◽  
pp. 112-113
Author(s):  
Mia Shokry ◽  
Kimiyo Yamasaki
Keyword(s):  
Carbon Dioxide ◽  
Cardiac Arrest ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Standard Of Care ◽  
End Tidal Carbon Dioxide ◽  
End Tidal ◽  
End Tidal Co2

Monitoring the exhaled caron dioxide pressure, known as end-tidal CO2 (ETCO2) has become the standard of care during anesthesia, intensive care units, and during cardiac arrest resuscitation. However, volumetric capnometry provides much more useful information other than the ETCO2.

END TIDAL CO2 AND HIGH DOSE EPINEPHRINE DURING CARDIAC ARREST IN HUMANS

1990 ◽  
Vol 18 (Supplement) ◽  
pp. S276 ◽  
Author(s):  
Norman A. Paradis ◽  
Gerard B. Martin ◽  
Emanuel P. Rivers ◽  
Mark G. Goetting ◽  
Timothy J. Appleton ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
High Dose ◽  
End Tidal ◽  
End Tidal Co2

THE UTILITY OF END TIDAL CO2 (ETCO2) MONITORING DURING IN-HOSPITAL CARDIAC ARREST TO PREDICT RETURN OF SPONTANEOUS CIRCULATION

CHEST Journal ◽  
2018 ◽  
Vol 154 (4) ◽  
pp. 68A
Author(s):  
MICHAEL ROSMAN ◽  
YING (SHELLY) QI ◽  
CAITLIN O'NEILL ◽  
AMANDA MENGOTTO ◽  
JIGNESH PATEL ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Spontaneous Circulation ◽  
Return Of Spontaneous Circulation ◽  
End Tidal ◽  
Hospital Cardiac Arrest ◽  
End Tidal Co2

End-tidal carbon dioxide and defibrillation success in out-of-hospital cardiac arrest

Resuscitation ◽  
2017 ◽  
Vol 121 ◽  
pp. 71-75 ◽  
Author(s):  
Simone Savastano ◽  
Enrico Baldi ◽  
Maurizio Raimondi ◽  
Alessandra Palo ◽  
Mirko Belliato ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Cardiac Arrest ◽  
End Tidal Carbon Dioxide ◽  
End Tidal ◽  
Hospital Cardiac Arrest

scholarly journals Cardiac arrest in a child during a combined general epidural anesthesia procedure

2016 ◽  
Vol 45 (3) ◽  
pp. 132
Author(s):  
Soenarjo Soenarjo ◽  
Yudhi Prabakti ◽  
Edwin MP Siahaan ◽  
A Soemantri ◽  
M Sidhartani
Keyword(s):  
Blood Pressure ◽  
Cardiac Arrest ◽  
Pulse Oximetry ◽  
Epidural Anesthesia ◽  
Young Age ◽  
Preventive Strategies ◽  
Number Of Factors ◽  
Increased Risk ◽  
End Tidal ◽  
Anesthesia Procedure

An increased risk of perioperative cardiac arrestin children, in comparison to adults, has beenrecognized. A number of factors associatedwith perioperative cardiac arrest have been identified,including young age, comorbidities, and emergencysurgery. Since anesthesia-related cardiac arrest isuncommon, a multi-related database is required tounderstand the mechanisms of cardiac arrest and todevelop preventive strategies. Most cardiac arrestsoccur during induction (37%) or maintenance (45%)of anesthesia, usually following one or more of thefollowing antecedent events, i.e., bradycardia (54%),hypotension (49%), abnormality of oxygen saturationas measured by pulse oximetry (48%), inability tomeasure blood pressure (25%), abnormality of end-tidal CO 2 (21%), cyanosis (21%), or arrhythmia(18%). In 11% of cases, cardiac arrest occurredwithout recognized warning. There are only fewreports in the literature, and in Kariadi Hospital, nonehas ever been reported. The aim of this report is toidentify and discuss possible causes of cardiac arrestand to anticipate its complications.

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