Portela-Ortiz JM, García-Hernández LA, Delgadillo-Arauz C, Contreras-Rincón CE, Arellano-Bocanegra J

Language: Spanish
References: 14
Page: 54-58
PDF size: 190.19 Kb.

ABSTRACT

Background: In the laparoscopy surgery is required the insuflation for a suitable exhibition, visualization and manipulation of the abdominal content. The introduction of needles and trocars for the formation of the neumoperitoneum and the maintenance of an intra-abdominal pressure (PIA) elevated, is fundamental elements in the presentation of transoperatory potential complications. Case report: A 61-year-old men developed a gas embolism during laparoscopic surgery. After 60 minutes of pneumoperitoneum, patient developed tachycardia and hypercapnia with severe hemodynamic deterioration, despite the use of vasopressor drugs. Carbon dioxide embolism was suspected and pneumoperitoneum was immediately deflated and resuscitation maneuvers were given, effectively reverting adverse side effects. Conclusions: The anesthesiologist should be vigilant during laparoscopic surgery and be ready and able to act in case of major complications. Early diagnosis and immediate treatment resulted in positive outcome in this case.

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