Subcutaneous carbon dioxide emphysema following laparoscopic salpingo-oophorectomy: a case report.
Multiple patient and economic benefits have contributed to the widespread popularity of laparoscopic surgery. Although the laparoscopic approach is safe, it is not without potential complications. The following case study describes a patient undergoing a laparoscopic salpingo-oophorectomy who had a sudden rise in end-tidal carbon dioxide to 65 mm Hg and was found to have developed subcutaneous emphysema. Hyperventilation, close monitoring, and mechanical ventilation for 4 hours postoperatively resulted in a positive patient outcome. The mechanisms of carbon dioxide absorption, as well as risk factors, complications, treatment, and prevention of subcutaneous emphysema will be described.
Lindsey
Stephanie
S
Wake Forest University Baptist Medical Center, University of North Carolina, Greensboro, USA. slcrna@yahoo.com
D000042:Absorption; D000369:Aged, 80 and over; D001784:Blood Gas Analysis; D002245:Carbon Dioxide / Q000008:administration & dosage / Q000009:adverse effects* / Q000493:pharmacokinetics; D005260:Female; D006801:Humans; D006935:Hypercapnia / Q000097:blood / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D007327:Insufflation; D010535:Laparoscopy; D016343:Monitoring, Intraoperative; D009719:Nurse Anesthetists; D009730:Nursing Assessment; D010048:Ovarian Cysts / Q000601:surgery; D010052:Ovariectomy; D010173:Palpation; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects* / Q000379:methods / Q000451:nursing; D012121:Respiration, Artificial; D012307:Risk Factors; D017751:Safety Management; D013352:Subcutaneous Emphysema / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control
D002245:Carbon Dioxide