Carbon dioxide embolism during laparoscopic surgery

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 a...

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Bibliographic Details
Published in:Yonsei medical journal 2012, 53(3), , pp.459-466
Main Authors: Park, Eun Young, Kwon, Ja-Young, Kim, Ki Jun
Format: Article
Language:English
Subjects:
Carbon Dioxide - adverse effects
Embolism, Air - diagnosis
Embolism, Air - epidemiology
Embolism, Air - prevention & control
Embolism, Air - surgery
Humans
Insufflation - adverse effects
Laparoscopy - adverse effects
Review
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Summary: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.
ISSN:0513-5796
1976-2437
DOI:10.3349/ymj.2012.53.3.459