Gas Embolism During Laparoscopy

Wadhwa, Rajindar K.; McKenzie, Ray; Wadhwa, Saroj R.; Katz, Ditza; Byers, Jonathan

doi:10.1097/00132586-197812000-00044

Cited by 5 publications

(5 citation statements)

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“…Therefore, arterial blood gas measurement may be required to directly estimate PaCO2 in order to identify hypercarbia [12]. A PECO2 sensor is useful for venous gas embolism early identification as well [13]. In anaesthetised patients getting IPPV, It's important to check the airway pressure on a frequent basis because a high airway pressure alert can help identify an excessive increase of intra-abdominal pressure [14].…”

Section: Literature Reviewmentioning

confidence: 99%

Risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches

2022

FEM

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Aims: The main goal of this study is to draw attention to the dangers of anaesthetic management during laparoscopic procedures on the abdominal aorta and its branches. Methodology: In this study, the risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches were determined by a systematic search use. The most recent studies in Scopus, PubMed, and google scholar databases. The search terms used were: [Risk OR adverse effect OR side effects] AND [Anaesthesia OR Anaesthetic management] AND [laparoscopic intervention or laparoscopy] AND [abdominal aorta OR abdominal aortic aneurysms] were evaluated. Results: 1070 articles using electronic databases were first collected. After a deep search, 238 articles were selected and given to the writers for additional evaluations. A thorough brainstorming session that resulted in the selection of 12 relevant papers for the evaluation was conducted. Abdominal aortic aneurysms (AAAs) that is affected by age necessitate surgical treatment. For AAA patients, laparoscopic surgery has become a vital procedure with a number of advantages. Laparoscopic surgery has become a standard medical procedure because it reduces tissue trauma and provides significant advantages. The administration of anaesthesia in patients having laparoscopic surgery, however, is crucial and demands special attention. Despite the rarity of absolute contraindications, the anaesthetist must carefully choose the patients who may undergo such procedures and must constantly be prepared for intraoperative issues. The pain experienced by patients having laparoscopic operations, such as appendectomy, is likely to be understated, so small incisions do not always imply reduced pain levels. Scientific Novelty: This is the first systematic review that highlights anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches risks. Conclusion: In extended laparoscopic surgery, general anaesthesia and epidural analgesia can be used together with the advantage of reduced postoperative pain severity thanks to patient-controlled spinal anaesthesia.

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Section: Literature Reviewmentioning

confidence: 99%

Risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches

2022

FEM

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“…However, although Wadhwa, et al40 monitored 100 patients undergoing laparoscopic procedures with a Doppler ultrasonic instrument, they reported no incidence of carbon dioxide embolism. In another study,5 no carbon dioxide embolism was detected on precordial Doppler ultrasonography in 61 patients undergoing laparoscopic cholecystectomy.…”

Section: Diagnosismentioning

confidence: 99%

Carbon Dioxide Embolism during Laparoscopic Surgery

2012

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Clinically significant carbon dioxide embolism is a rare but potentially fatal complication of anesthesia administered during laparoscopic surgery. Its most common cause is inadvertent injection of carbon dioxide into a large vein, artery or solid organ. This error usually occurs during or shortly after insufflation of carbon dioxide into the body cavity, but may result from direct intravascular insufflation of carbon dioxide during surgery. Clinical presentation of carbon dioxide embolism ranges from asymptomatic to neurologic injury, cardiovascular collapse or even death, which is dependent on the rate and volume of carbon dioxide entrapment and the patient's condition. We reviewed extensive literature regarding carbon dioxide embolism in detail and set out to describe the complication from background to treatment. We hope that the present work will improve our understanding of carbon dioxide embolism during laparoscopic surgery.

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“…[15] A P E CO 2 monitor is also valuable for early detection of venous gas embolism. [16] An airway pressure monitoring should be done regularly in anaesthetized patients receiving IPPV, as high airway pressure alarm can aid in detection of excessive elevation of intra-abdominal pressure. [17]…”

Section: Anaesthetic Managementmentioning

confidence: 99%

Secrets of safe laparoscopic surgery: Anaesthetic and surgical considerations

Srivastava

Niranjan

2010

J Min Access Surg

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In recent years, laparoscopic surgery has gained popularity in clinical practice. The key element in laparoscopic surgery is creation of pneumoperitoneum and carbon dioxide is commonly used for insufflation. This pneumoperitoneum perils the normal cardiopulmonary system to a considerable extent. Every laparoscopic surgeon should understand the consequences of pneumoperitoneum; so that its untoward effects can be averted. Pneumoperitoneum increases pressure on diaphragm, leading to its cephalic displacement and thereby decreasing venous return, which can be aggravated by the position of patient during surgery. There is no absolute contraindication of laparoscopic surgery, though we can anticipate some problems in conditions like obesity, pregnancy and previous abdominal surgery. This review discusses some aspects of the pathophysiology of carbon dioxide induced pneumoperitoneum, its consequences as well as strategies to counteract them. Also, we propose certain guidelines for safe laparoscopic surgery.

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Gas Embolism During Laparoscopy

Cited by 5 publications

References 0 publications

Risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches

Risks of anaesthetic management during laparoscopic interventions on the abdominal aorta and its branches

Carbon Dioxide Embolism during Laparoscopic Surgery

Secrets of safe laparoscopic surgery: Anaesthetic and surgical considerations

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