Yonsei Med J.  2012 May;53(3):459-466. 10.3349/ymj.2012.53.3.459.

Carbon Dioxide Embolism during Laparoscopic Surgery

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Hallym University College of Medicine, Seoul, Korea.
  • 2Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea. kkj6063@yuhs.ac

Abstract

Clinically significant carbon dioxide embolism is a rare but potentially fatal complication of anesthesia administered during laparoscopic surgery. Its most common cause is inadvertent injection of carbon dioxide into a large vein, artery or solid organ. This error usually occurs during or shortly after insufflation of carbon dioxide into the body cavity, but may result from direct intravascular insufflation of carbon dioxide during surgery. Clinical presentation of carbon dioxide embolism ranges from asymptomatic to neurologic injury, cardiovascular collapse or even death, which is dependent on the rate and volume of carbon dioxide entrapment and the patient's condition. We reviewed extensive literature regarding carbon dioxide embolism in detail and set out to describe the complication from background to treatment. We hope that the present work will improve our understanding of carbon dioxide embolism during laparoscopic surgery.

Keyword

Carbon dioxide; embolism; laparoscopy; pneumoperitoneum
Full Text Links
  • YMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2021 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr