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Carbon dioxide and argon gas embolism during laparoscopic hepatic resection
Author(s) -
Min S. K.,
Kim J. H.,
Lee S. Y.
Publication year - 2007
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.2007.01361.x
Subject(s) - medicine , air embolism , carbon dioxide , embolism , surgery , resection , vein , anesthesia , complication , ecology , biology
During laparoscopic hepatic resection, an abrupt decrease in F E’CO 2 (from 28 mmHg to 9 mmHg) associated with near cardiac arrest occurred concomitantly with hepatic vein laceration and the use of an argon beam coagulator system. During venous gas embolism, transesophageal echocardiography (TEE) proved the transpulmonary passage of the gas. In the post‐operative period, the patient developed pulmonary edema and made a full recovery after 5 days. This is a case report of a possible paradoxic carbon dioxide (CO 2 ) and argon gas embolism by transpulmonary passage during laparoscopic hepatic resection.