Detection of Subclinical CO2 Embolism by Transesophageal Echocardiography During Laparoscopic Radical Prostatectomy

Objectives To document incidences of subclinical embolism in laparoscopic radical prostatectomy with continuous monitoring using transesophageal echocardiography (TEE). Methods A total of 43 patients scheduled for elective robotic-assisted laparoscopic radical prostatectomy under general anesthesia...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2010-03, Vol.75 (3), p.581-584
Main Authors: Hong, Jeong-Yeon, Kim, Won Oak, Kil, Hae Keum
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carbon Dioxide - administration & dosage
Echocardiography, Transesophageal
Embolism, Air - diagnostic imaging
Embolism, Air - epidemiology
Heart Diseases - diagnostic imaging
Heart Diseases - epidemiology
Humans
Incidence
Intraoperative Complications - diagnostic imaging
Intraoperative Complications - epidemiology
Laparoscopy
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Prostatectomy - methods
Urology
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Summary:Objectives To document incidences of subclinical embolism in laparoscopic radical prostatectomy with continuous monitoring using transesophageal echocardiography (TEE). Methods A total of 43 patients scheduled for elective robotic-assisted laparoscopic radical prostatectomy under general anesthesia were enrolled in this study. A 4-chamber view of 5.0-MHz multiplane TEE was continuously monitored to detect any intracardiac bubbles as an embolism. An independent TEE specialist reviewed the tapes for interpretation, and emboli were classified as 1 of 5 stages. Cardiorespiratory instability during gas emboli entry was defined as an appearance of cardiac arrhythmias, sudden decrease in mean arterial blood pressure >20 mm Hg, or an episode of pulse oximetric saturation
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2009.04.064