Intraoperative management of a carbon dioxide embolus in the setting of laparoscopic cholecystectomy for a patient with primary biliary cirrhosis: A case report

Highlights • We discuss appropriate detection and management of a carbon dioxide embolus. • We review the pathologic hepatic changes in patients with primary biliary cirrhosis. • We postulate that cirrhosis may increase the risk of a carbon dioxide embolus. • We share an understanding that more inva...

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Bibliographic Details
Published in:International journal of surgery case reports 2014-01, Vol.5 (11), p.833-835
Main Authors: Cadis, Amy Susan, Velasquez, Chelsea Diane, Brauer, Mark, Hoak, Bruce
Format: Article
Language:English
Subjects:
Carbon dioxide embolism
Laparoscopic cholecystectomy
Primary biliary cirrhosis
Surgery
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Summary:Highlights • We discuss appropriate detection and management of a carbon dioxide embolus. • We review the pathologic hepatic changes in patients with primary biliary cirrhosis. • We postulate that cirrhosis may increase the risk of a carbon dioxide embolus. • We share an understanding that more invasive monitoring may be helpful, but ultimately hypervigilance from the anesthesia team is the number one safeguard.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2014.09.002