Résumé
Bien qu’étant rare, de 1 cas sur 63 000 à 1 sur 7 500 laparoscopies, l’embolie gazeuse durant cet acte reste une complication redoutable. La Symptomatologie va de la simple toux accompagnée d’une pause expiratoire chez une patiente en respiration spontanée si l’injection d’air est lente, à l’arrêt cardiaque brutal en cas d’embolie massive.
Summary
Although rare, gas embolism remains a fearsome complication in 1in- 7,500 to 1- in- 63,000 cases of laparoscopy. The symptoms range from a simple cough accompanied by an exhalation pause in a patient, breathing spontaneously, if air injection is slow, to brutal cardiac arrest in the case of a massive embolism.
Resumen
Aunque rara, 1 caso sobre 63.000 a 1 sobre 7.500 laparoscopias, la embolia gaseosa durante este procedimiento es una cmplicación alarmante. La sintomatología va de la simple tos acompa\(\bar n\)ada de una pausa expiratoria en un paciente con respiración espontânea si la inyección de aire es lenta al paro cardíaco brusco en caso de embolía masiva.
Zusammenfassung
Obwohl selten, 1 auf 63 000 bis 1 auf 7 500 Laparoskopien, bleibt die Luftembolie eine gefürchtete Komplikation dieses Eingriffs. Die Symptome variieren von einem leichten Husten mit exspiratorischer Pause bei Spontanatmung bei einer Patientin mit leichter Luftembolie bis zu einem plötzlichen Herzstillstand bei massiver Embolie.
Rlassunto
L’embolia gassosa quale complicanza della laparoscopia, sebbene evenienza rara (1 caso su 7.500- 63.000 laparoscopie), costituisce un evento temibile. La sintomatologia va dalla semplice tosse accompagnata da una pausa espiratoria, in caso di pazienti in respirazione spontanea e se l’ingresso di gas è lento, fino all’arresto cardiaco improvviso in caso di embolia massiva. La revisione d élie varie metodiche di monitoraggio utilizzabili suggerisce, quali mezzi di sorveglianza poco invasivi ed affidabili, l’impiego del capnografo e dello stetoscopio esofageo.
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Van Obbergh, L., Gribomont, B. Complications et mesures préventives en laparoscopie opératoire. Acta Endosc 22, 37–44 (1992). https://doi.org/10.1007/BF02963359
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DOI: https://doi.org/10.1007/BF02963359