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Carbon dioxide and argon gas embolism during laparoscopic hepatic resection.

Authors
Min, SK; Kim, JH; Lee, SY
Citation
Acta anaesthesiologica Scandinavica, 51(7):949-953, 2007
Journal Title
Acta anaesthesiologica Scandinavica
ISSN
0001-51721399-6576
Abstract
During laparoscopic hepatic resection, an abrupt decrease in FE'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.
MeSH terms
Argon*Carbon Dioxide*Cholestasis, Intrahepatic/surgeryEchocardiography, TransesophagealEmbolism, Air/etiology*FemaleHeart Arrest/physiopathologyHumansIntraoperative Complications/etiology*Laparoscopy*Liver/surgery*Middle AgedOximetryPostoperative Complications/therapyPulmonary Edema/etiologyPulmonary Edema/therapy
DOI
10.1111/j.1399-6576.2007.01361.x
PMID
17635400
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
AJOU Authors
민, 상기김, 재형이, 숙영
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