Carbon dioxide embolism following diagnostic hysteroscopy.
A 50-year-old woman ASA 2 underwent carbon dioxide hysteroscopy under general anaesthesia. Monitoring showed a sudden and rapid fall in end-tidal carbon dioxide followed by oxygen desaturation. She became pulseless and cyanosed. Resuscitation with oxygen, intravenous adrenaline and head-down tilt restored her to haemodynamic stability. Hyperbaric therapy was also administered as air embolism could not be excluded.
Sherlock
S
S
Department of Anaesthesia, Dandenong Hospital, Victoria.
Shearer
W A
WA
Buist
M
M
Rasiah
R
R
Edwards
A
A
D000768:Anesthesia, General; D002245:Carbon Dioxide; D004618:Embolism, Air / Q000209:etiology*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects*; D008875:Middle Aged
D002245:Carbon Dioxide