Coronary gas embolism after laparoscopic surgery
Gas embolism is a severe complication of laparoscopic surgery. We report two cases: one with lethal peroperative cardiac arrest from massive coronary artery gas embolism recognized during open-chest cardiac massage; the second case, also associated with coronary artery gas embolism, resulted in seve...
Gespeichert in:
| Veröffentlicht in: | Annales françaises d'anesthésie et de réanimation 1997, Vol.16 (4), p.381-385 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | fre |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 385 |
|---|---|
| container_issue | 4 |
| container_start_page | 381 |
| container_title | Annales françaises d'anesthésie et de réanimation |
| container_volume | 16 |
| creator | Popesco, D Le Mière, E Maître, B Darchy, B Domart, Y |
| description | Gas embolism is a severe complication of laparoscopic surgery. We report two cases: one with lethal peroperative cardiac arrest from massive coronary artery gas embolism recognized during open-chest cardiac massage; the second case, also associated with coronary artery gas embolism, resulted in severe but transient abnormal left ventricular anterior wall motion, subepicardial ischaemia and injury in ECG leads V1 to V5, but unremarkable coronary arteriography and full recovery. The pathophysiology of gas embolism occurring during a laparoscopic procedure, the mechanisms of gas entry into the systemic vascular bed, the clinical, ECG, pulse oximetry, end-tidal CO2 concentration changes and alarm signs are discussed. The diagnostic value of Doppler transoesophageal echocardiography when possible is underlined, and emergency management of gas embolism is considered. |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_79638422</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>79638422</sourcerecordid><originalsourceid>FETCH-LOGICAL-p535-2f6e0954c91c09c28c9f769b3771d9a1a945d2e398aced84be5b9a8304203e153</originalsourceid><addsrcrecordid>eNotj71qwzAURjW0pGnaRwh46maQJV1LdyymfxDIkt1cy9fBwY5cKR7y9jXU0zd8hwPnQWylBZnbEtyTeE7pIqUEbYqN2OBygIOtkFWI4Urxnp0pZTw2YejTmFF345gNNFEMyYep91ma45nj_UU8djQkfl13J06fH6fqOz8cv36q90M-gYZcdSVLBOOx8BK9ch47W2KjrS1apILQQKtYoyPPrTMNQ4PktDRKai5A78Tbv3aK4XfmdKvHPnkeBrpymFNtsdTOKLWA-xWcm5Hbeor9uOTUa6H-AxWQSv4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>79638422</pqid></control><display><type>article</type><title>Coronary gas embolism after laparoscopic surgery</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Popesco, D ; Le Mière, E ; Maître, B ; Darchy, B ; Domart, Y</creator><creatorcontrib>Popesco, D ; Le Mière, E ; Maître, B ; Darchy, B ; Domart, Y</creatorcontrib><description>Gas embolism is a severe complication of laparoscopic surgery. We report two cases: one with lethal peroperative cardiac arrest from massive coronary artery gas embolism recognized during open-chest cardiac massage; the second case, also associated with coronary artery gas embolism, resulted in severe but transient abnormal left ventricular anterior wall motion, subepicardial ischaemia and injury in ECG leads V1 to V5, but unremarkable coronary arteriography and full recovery. The pathophysiology of gas embolism occurring during a laparoscopic procedure, the mechanisms of gas entry into the systemic vascular bed, the clinical, ECG, pulse oximetry, end-tidal CO2 concentration changes and alarm signs are discussed. The diagnostic value of Doppler transoesophageal echocardiography when possible is underlined, and emergency management of gas embolism is considered.</description><identifier>ISSN: 0750-7658</identifier><identifier>PMID: 9750585</identifier><language>fre</language><publisher>France</publisher><subject>Aged ; Carbon Dioxide ; Cholecystectomy, Laparoscopic ; Combined Modality Therapy ; Coronary Vessels ; Dopamine - therapeutic use ; Electrocardiography ; Embolism, Air - diagnosis ; Embolism, Air - etiology ; Embolism, Air - physiopathology ; Embolism, Air - therapy ; Emergency Medical Services ; Epinephrine - therapeutic use ; Fatal Outcome ; Female ; Heart Arrest - etiology ; Heart Arrest - therapy ; Heart Massage ; Humans ; Laparoscopy ; Middle Aged ; Myocardial Ischemia - etiology ; Myocardial Ischemia - therapy ; Ovarian Cysts - surgery ; Pneumoperitoneum, Artificial - adverse effects ; Postoperative Complications - diagnosis ; Postoperative Complications - etiology ; Postoperative Complications - physiopathology ; Postoperative Complications - therapy</subject><ispartof>Annales françaises d'anesthésie et de réanimation, 1997, Vol.16 (4), p.381-385</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9750585$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Popesco, D</creatorcontrib><creatorcontrib>Le Mière, E</creatorcontrib><creatorcontrib>Maître, B</creatorcontrib><creatorcontrib>Darchy, B</creatorcontrib><creatorcontrib>Domart, Y</creatorcontrib><title>Coronary gas embolism after laparoscopic surgery</title><title>Annales françaises d'anesthésie et de réanimation</title><addtitle>Ann Fr Anesth Reanim</addtitle><description>Gas embolism is a severe complication of laparoscopic surgery. We report two cases: one with lethal peroperative cardiac arrest from massive coronary artery gas embolism recognized during open-chest cardiac massage; the second case, also associated with coronary artery gas embolism, resulted in severe but transient abnormal left ventricular anterior wall motion, subepicardial ischaemia and injury in ECG leads V1 to V5, but unremarkable coronary arteriography and full recovery. The pathophysiology of gas embolism occurring during a laparoscopic procedure, the mechanisms of gas entry into the systemic vascular bed, the clinical, ECG, pulse oximetry, end-tidal CO2 concentration changes and alarm signs are discussed. The diagnostic value of Doppler transoesophageal echocardiography when possible is underlined, and emergency management of gas embolism is considered.</description><subject>Aged</subject><subject>Carbon Dioxide</subject><subject>Cholecystectomy, Laparoscopic</subject><subject>Combined Modality Therapy</subject><subject>Coronary Vessels</subject><subject>Dopamine - therapeutic use</subject><subject>Electrocardiography</subject><subject>Embolism, Air - diagnosis</subject><subject>Embolism, Air - etiology</subject><subject>Embolism, Air - physiopathology</subject><subject>Embolism, Air - therapy</subject><subject>Emergency Medical Services</subject><subject>Epinephrine - therapeutic use</subject><subject>Fatal Outcome</subject><subject>Female</subject><subject>Heart Arrest - etiology</subject><subject>Heart Arrest - therapy</subject><subject>Heart Massage</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - etiology</subject><subject>Myocardial Ischemia - therapy</subject><subject>Ovarian Cysts - surgery</subject><subject>Pneumoperitoneum, Artificial - adverse effects</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Postoperative Complications - therapy</subject><issn>0750-7658</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotj71qwzAURjW0pGnaRwh46maQJV1LdyymfxDIkt1cy9fBwY5cKR7y9jXU0zd8hwPnQWylBZnbEtyTeE7pIqUEbYqN2OBygIOtkFWI4Urxnp0pZTw2YejTmFF345gNNFEMyYep91ma45nj_UU8djQkfl13J06fH6fqOz8cv36q90M-gYZcdSVLBOOx8BK9ch47W2KjrS1apILQQKtYoyPPrTMNQ4PktDRKai5A78Tbv3aK4XfmdKvHPnkeBrpymFNtsdTOKLWA-xWcm5Hbeor9uOTUa6H-AxWQSv4</recordid><startdate>1997</startdate><enddate>1997</enddate><creator>Popesco, D</creator><creator>Le Mière, E</creator><creator>Maître, B</creator><creator>Darchy, B</creator><creator>Domart, Y</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>1997</creationdate><title>Coronary gas embolism after laparoscopic surgery</title><author>Popesco, D ; Le Mière, E ; Maître, B ; Darchy, B ; Domart, Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p535-2f6e0954c91c09c28c9f769b3771d9a1a945d2e398aced84be5b9a8304203e153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>1997</creationdate><topic>Aged</topic><topic>Carbon Dioxide</topic><topic>Cholecystectomy, Laparoscopic</topic><topic>Combined Modality Therapy</topic><topic>Coronary Vessels</topic><topic>Dopamine - therapeutic use</topic><topic>Electrocardiography</topic><topic>Embolism, Air - diagnosis</topic><topic>Embolism, Air - etiology</topic><topic>Embolism, Air - physiopathology</topic><topic>Embolism, Air - therapy</topic><topic>Emergency Medical Services</topic><topic>Epinephrine - therapeutic use</topic><topic>Fatal Outcome</topic><topic>Female</topic><topic>Heart Arrest - etiology</topic><topic>Heart Arrest - therapy</topic><topic>Heart Massage</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - etiology</topic><topic>Myocardial Ischemia - therapy</topic><topic>Ovarian Cysts - surgery</topic><topic>Pneumoperitoneum, Artificial - adverse effects</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Postoperative Complications - therapy</topic><toplevel>online_resources</toplevel><creatorcontrib>Popesco, D</creatorcontrib><creatorcontrib>Le Mière, E</creatorcontrib><creatorcontrib>Maître, B</creatorcontrib><creatorcontrib>Darchy, B</creatorcontrib><creatorcontrib>Domart, Y</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Annales françaises d'anesthésie et de réanimation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Popesco, D</au><au>Le Mière, E</au><au>Maître, B</au><au>Darchy, B</au><au>Domart, Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary gas embolism after laparoscopic surgery</atitle><jtitle>Annales françaises d'anesthésie et de réanimation</jtitle><addtitle>Ann Fr Anesth Reanim</addtitle><date>1997</date><risdate>1997</risdate><volume>16</volume><issue>4</issue><spage>381</spage><epage>385</epage><pages>381-385</pages><issn>0750-7658</issn><abstract>Gas embolism is a severe complication of laparoscopic surgery. We report two cases: one with lethal peroperative cardiac arrest from massive coronary artery gas embolism recognized during open-chest cardiac massage; the second case, also associated with coronary artery gas embolism, resulted in severe but transient abnormal left ventricular anterior wall motion, subepicardial ischaemia and injury in ECG leads V1 to V5, but unremarkable coronary arteriography and full recovery. The pathophysiology of gas embolism occurring during a laparoscopic procedure, the mechanisms of gas entry into the systemic vascular bed, the clinical, ECG, pulse oximetry, end-tidal CO2 concentration changes and alarm signs are discussed. The diagnostic value of Doppler transoesophageal echocardiography when possible is underlined, and emergency management of gas embolism is considered.</abstract><cop>France</cop><pmid>9750585</pmid><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0750-7658 |
| ispartof | Annales françaises d'anesthésie et de réanimation, 1997, Vol.16 (4), p.381-385 |
| issn | 0750-7658 |
| language | fre |
| recordid | cdi_proquest_miscellaneous_79638422 |
| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Aged Carbon Dioxide Cholecystectomy, Laparoscopic Combined Modality Therapy Coronary Vessels Dopamine - therapeutic use Electrocardiography Embolism, Air - diagnosis Embolism, Air - etiology Embolism, Air - physiopathology Embolism, Air - therapy Emergency Medical Services Epinephrine - therapeutic use Fatal Outcome Female Heart Arrest - etiology Heart Arrest - therapy Heart Massage Humans Laparoscopy Middle Aged Myocardial Ischemia - etiology Myocardial Ischemia - therapy Ovarian Cysts - surgery Pneumoperitoneum, Artificial - adverse effects Postoperative Complications - diagnosis Postoperative Complications - etiology Postoperative Complications - physiopathology Postoperative Complications - therapy |
| title | Coronary gas embolism after laparoscopic surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T17%3A00%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Coronary%20gas%20embolism%20after%20laparoscopic%20surgery&rft.jtitle=Annales%20fran%C3%A7aises%20d'anesth%C3%A9sie%20et%20de%20r%C3%A9animation&rft.au=Popesco,%20D&rft.date=1997&rft.volume=16&rft.issue=4&rft.spage=381&rft.epage=385&rft.pages=381-385&rft.issn=0750-7658&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E79638422%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=79638422&rft_id=info:pmid/9750585&rfr_iscdi=true |