Late Onset of Subcutaneous Emphysema and Hypercarbia Following Laparoscopic Cholecystectomy

Santana, Aurora; Crausman, Robert S.; Dubin, Howard G.

doi:10.1378/chest.115.5.1468

Cited by 17 publications

(9 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…25 Hypercarbia increases heart rate, systemic blood pressure, central venous pressure, cardiac output, and stroke volume, and it decreases peripheral vascular resistance because of the release of epinephrine and norepinephrine. 26–31 …”

Section: Introductionmentioning

confidence: 99%

Subcutaneous Emphysema—Beyond the Pneumoperitoneum

Ott

2014

JSLS

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Subcutaneous Emphysema—Beyond the Pneumoperitoneum

Ott

2014

JSLS

View full text Add to dashboard Cite

show abstract

“…In the first case the ETCO 2 increased to 74 mmHg without any increase in peak inspiratory pressure 90 minutes after initial CO 2 insufflation. In the second case significant respiratory acidosis, due to increased CO 2 production, presented in the recovery room 19 .…”

Section: Discussionmentioning

confidence: 89%

Surgical Emphysema as a Cause of Severe Hypercapnia during Laparoscopic Surgery

Critchley

2010

Anaesth Intensive Care

View full text Add to dashboard Cite

Surgical emphysema is a well-recognised complication of laparoscopic surgery, but its impact on end-tidal carbon dioxide levels and carbon dioxide elimination is seldom reported and may not be fully appreciated by anaesthetists. Four cases are presented where extensive surgical emphysema occurred during laparoscopic surgery. The visual display of the anaesthetic record using the software program Monitor showed substantial rises in end-tidal carbon dioxide levels and allowed calculation of the carbon dioxide elimination, which increased two- to three-fold above normal levels. Having a visual record of carbon dioxide changes facilitated the recognition of surgical emphysema in three out of the four cases. Strategies such as estimating and tracking changes in carbon dioxide elimination from the minute ventilation and end-tidal carbon dioxide levels may assist in early identification, and palpating for surgical emphysema is recommended during laparoscopy if other causes of increased carbon dioxide levels are excluded.

show abstract

“…Insufflated CO 2 used to create a pneumoperitoneum is absorbed from the tissues into the blood, crossing the alveolar membrane, to be expelled as CO 2 . As a result, an increase in minute ventilation of approximately 25% is needed to maintain eucarbia [3, 5, 8, 9].…”

Section: Discussionmentioning

confidence: 99%

Massive Upper Body and Cervicofacial Subcutaneous Emphysema Following Robotic Myomectomy

Capone

Ranieri

Knezevic

et al. 2019

Case Reports in Anesthesiology

View full text Add to dashboard Cite

Subcutaneous emphysema is defined as the unintentional introduction of air or carbon dioxide in the subcutaneous tissues. The use of robotic surgical techniques has greatly expanded over the past decade specifically to treat intraperitoneal pathology. In general, advantages of these minimally invasive procedures are reported to decrease operating time, patient morbidity, and shorten hospital stay providing a safe alternative to traditional surgery. However, as with any surgery, potential complications may occur. We describe an unusual case of massive subcutaneous emphysema involving the upper body and cervicofacial region, with bilateral pneumothoraces following robotic intraperitoneal surgery. Written authorization was obtained from the patient.

show abstract

Late Onset of Subcutaneous Emphysema and Hypercarbia Following Laparoscopic Cholecystectomy

Cited by 17 publications

References 13 publications

Subcutaneous Emphysema—Beyond the Pneumoperitoneum

Subcutaneous Emphysema—Beyond the Pneumoperitoneum

Surgical Emphysema as a Cause of Severe Hypercapnia during Laparoscopic Surgery

Massive Upper Body and Cervicofacial Subcutaneous Emphysema Following Robotic Myomectomy

Contact Info

Product

Resources

About