2012
DOI: 10.1055/s-0032-1322616 View full text |Buy / Rent full text
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Abstract: Carbon dioxide (CO2) insufflation is now essential for most endoscopic surgeries, such as abdominal, pelvic, and neck endoscopic surgery. It is not uncommon for CO2 leaks to occur unintentionally into subcutaneous tissue, later diffusing into a patient's bloodstream and resulting in hypercarbia. Regardless of the etiology of subcutaneous emphysema, a similar clinical management is required. Herein, we report on a case of tension subcutaneous emphysema and subsequent fatal ventilatory failure due to massive sub… Show more

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“…There are case reports of deaths due to SCE as a result of precipitant ventilatory failure [10][11][12] while it has been associated with patient deterioration and death by others [13]. It is not possible to estimate mortality rates from SCE given the selective nature of case reports but, it is not insignificant.…”
Section: Morbidity and Mortalitymentioning
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“…There are case reports of deaths due to SCE as a result of precipitant ventilatory failure [10][11][12] while it has been associated with patient deterioration and death by others [13]. It is not possible to estimate mortality rates from SCE given the selective nature of case reports but, it is not insignificant.…”
Section: Morbidity and Mortalitymentioning
“…It is not uncommon for CO2 to pass spontaneously into the subcutaneous tissue, and later into the bloodstream causing hypercapnia. During laparoscopic surgery, hypercapnia can cause acidosis, arrhythmia, hypotension, myocardial ischemia, and cardiocirculatory arrest [56] and even acute respiratory failure despite endotracheal intubation [57].…”
Section: Possible Complications In Laparoscopic Surgerymentioning