[Heart arrest caused by CO2 embolism during a laparoscopic cholecystectomy].
A 41-year-old woman developed a gas embolism while inserting a Veress needle to achieve pneumoperitoneum for laparoscopic cholecystectomy. The embolism led to asystole, which was corrected after advanced cardiopulmonary resuscitation maneuvers, and was followed by sequelae and a prolonged hospital stay. The anesthesiologist should be vigilant during laparoscopic surgery and be ready and able to act in case of major complications.
Benítez Pacheco
O R
OR
Servicio de Anestesiología, Sanatorio Centro Médico, Unidad Académica, Facultad de Medicina, Universidad Nacional del Nordeste (UNNE), Argentina. orbenitez@arnet.com.ar
Serra
E
E
Jara
L
L
Buzzi
J C
JC
D000328:Adult; D001925:Brain Damage, Chronic / Q000209:etiology; D002245:Carbon Dioxide / Q000009:adverse effects*; D017081:Cholecystectomy, Laparoscopic; D004618:Embolism, Air / Q000209:etiology*; D005260:Female; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects*
D002245:Carbon Dioxide