Abstract
Venous embolism of carbon dioxide occurred during elective diagnostic laparoscopy in a healthy adult female. The diagnosis of gas embolism was made on the basis of the sudden abrupt onset of systolic and diastolic murmurs. The continuously recorded end-tidal carbon dioxide concentration (FetCO2) increased abruptly from 3.8 to 4.2 per cent and then slowly decreased to 4.0 per cent over the subsequent 30 seconds. CO2 insufflation was terminated immediately following the establishment of the diagnosis. The patient recovered uneventfully. A transient but rapid rise inFetCO2 is suggested as a useful early sign of venous CO2 embolism during laparoscopy.
Résumé
Une embolie de gaz carbonique a été détectée pendant une laparoscopie diagnostique chez une femme en bonne santé. Le diagnostic a été posé gráce à l’apparition subite de souffles cardiaques systolique el diastolique caractéristiques. L’enregistrement continu de la pression partielle de CO2 télé-expiratoire (FetCO2) a montré une élévation abrupte de 3.8 à 4.2 pour cent puts une descente lente à 4.0 pour cent en 30 secondes. L’insufflation de CO2 fut arrétée dès le diagnostic pose. La patiente a récupére sans problème. Une élévation rapide et transitoire deFetCO2 semble être un signe précoce utile de l’embolie de CO2 pendant une laparoscopie.
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Shulman, D., Aronson, H.B. Capnography in the early diagnosis of carbon dioxide embolism during laparoscopy. Can Anaesth Soc J 31, 455–459 (1984). https://doi.org/10.1007/BF03015425
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DOI: https://doi.org/10.1007/BF03015425