Successful resuscitation after fatal carbon dioxide embolism during laparoscopic nephrectomy
Laparoscopic nephrectomy （LN） is a less invasive surgical option for patients with renal disease.However,it may be complicated with disastrous CO2 embolism,which is rare but a life-threatening consequence.Here,we present a case of lethal CO2 embolism during LN.Fortunately,the complication was detect...
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| Veröffentlicht in: | Chinese medical journal 2014, Vol.127 (15), p.2863-2864 |
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| creator | Yu, Xin Fang, Xiao Fang, Xiangming |
| description | Laparoscopic nephrectomy （LN） is a less invasive surgical option for patients with renal disease.However,it may be complicated with disastrous CO2 embolism,which is rare but a life-threatening consequence.Here,we present a case of lethal CO2 embolism during LN.Fortunately,the complication was detected early and managed successfully.Our case and literature review all revealed that gas embolism must be considered as a possible cause of sudden cardiocirculatory failure during LN;rapid diagnosis and definitive intervention can decrease fatality from such an injury.Possible mechanisms of CO2 embolism and the potential ways of handling such an event are also discussed.Keywords：laparoscopic nephrectomy; gas embolism; transesophageal echocardiography |
| doi_str_mv | 10.3760/cma.j.issn.0366-6999.20133301 |
| format | Article |
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Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85656X/85656X.jpg</thumbnail><link.rule.ids>314,777,781,861,4010,27904,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25146628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yu, Xin</creatorcontrib><creatorcontrib>Fang, Xiao</creatorcontrib><creatorcontrib>Fang, Xiangming</creatorcontrib><title>Successful resuscitation after fatal carbon dioxide embolism during laparoscopic nephrectomy</title><title>Chinese medical journal</title><addtitle>Chinese Medical Journal</addtitle><description>Laparoscopic nephrectomy （LN） is a less invasive surgical option for patients with renal disease.However,it may be complicated with disastrous CO2 embolism,which is rare but a life-threatening consequence.Here,we present a case of lethal CO2 embolism during LN.Fortunately,the complication was detected early and managed successfully.Our case and literature review all revealed that gas embolism must be considered as a possible cause of sudden cardiocirculatory failure during LN;rapid diagnosis and definitive intervention can decrease fatality from such an injury.Possible mechanisms of CO2 embolism and the potential ways of handling such an event are also discussed.Keywords：laparoscopic nephrectomy; gas embolism; transesophageal echocardiography</description><subject>Carbon Dioxide</subject><subject>Cardiopulmonary Resuscitation</subject><subject>Echocardiography, Transesophageal</subject><subject>Embolism, Air - etiology</subject><subject>Embolism, Air - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Laparoscopy - adverse effects</subject><subject>Middle Aged</subject><subject>Nephrectomy - adverse effects</subject><subject>二氧化碳</subject><subject>切除术</subject><subject>微创手术</subject><subject>快速诊断</subject><subject>栓塞</subject><subject>肾脏疾病</subject><subject>腹腔镜</subject><subject>超声心动图</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90E1r3DAQBmARUpLtJn8hmEJCL3b14ZHjY1mathDIoemtYMZjaVeLLTmSTZP8-jrsNqeB4eEd5mXsWvBCVZp_oQGLfeFS8gVXWue6rutCcqGU4uKErSSUMgddilO2egfn7GNKe84lQKXP2LkEUWotb1fsz6-ZyKRk5z6LJs2J3ISTCz5DO5mYWZywzwhju6w6F55dZzIztKF3aci6OTq_zXocMYZEYXSUeTPuoqEpDC8X7IPFPpnL41yz33ffHjc_8vuH7z83X-9zkrqecuLWVMtvWikANNCVUoLhnbglECjryoJVSKSprbC1VJXLs1JXtiSCTlRqzW4OuX_RW_TbZh_m6JeLzeuOhv3STimAS73Azwc4xvA0mzQ1g0tk-h69CXNqBABoWSp4y7w60rkdTNeM0Q0YX5r_1S3g0wHQLvjt09LDu9Fa1DVIUOofRmaBTg</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Yu, Xin</creator><creator>Fang, Xiao</creator><creator>Fang, Xiangming</creator><general>Department of Anaesthesiology, the First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang 310012, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>2014</creationdate><title>Successful resuscitation after fatal carbon dioxide embolism during laparoscopic nephrectomy</title><author>Yu, Xin ; Fang, Xiao ; Fang, Xiangming</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c269t-c0fe776063355ae5d4225e0d18c51a297f5f3acc6cb7abfc74333267f4cc5d173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Carbon Dioxide</topic><topic>Cardiopulmonary Resuscitation</topic><topic>Echocardiography, Transesophageal</topic><topic>Embolism, Air - etiology</topic><topic>Embolism, Air - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Laparoscopy - adverse effects</topic><topic>Middle Aged</topic><topic>Nephrectomy - adverse effects</topic><topic>二氧化碳</topic><topic>切除术</topic><topic>微创手术</topic><topic>快速诊断</topic><topic>栓塞</topic><topic>肾脏疾病</topic><topic>腹腔镜</topic><topic>超声心动图</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yu, Xin</creatorcontrib><creatorcontrib>Fang, Xiao</creatorcontrib><creatorcontrib>Fang, Xiangming</creatorcontrib><collection>维普_期刊</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>维普中文期刊数据库</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yu, Xin</au><au>Fang, Xiao</au><au>Fang, Xiangming</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful resuscitation after fatal carbon dioxide embolism during laparoscopic nephrectomy</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chinese Medical Journal</addtitle><date>2014</date><risdate>2014</risdate><volume>127</volume><issue>15</issue><spage>2863</spage><epage>2864</epage><pages>2863-2864</pages><issn>0366-6999</issn><eissn>2542-5641</eissn><abstract>Laparoscopic nephrectomy （LN） is a less invasive surgical option for patients with renal disease.However,it may be complicated with disastrous CO2 embolism,which is rare but a life-threatening consequence.Here,we present a case of lethal CO2 embolism during LN.Fortunately,the complication was detected early and managed successfully.Our case and literature review all revealed that gas embolism must be considered as a possible cause of sudden cardiocirculatory failure during LN;rapid diagnosis and definitive intervention can decrease fatality from such an injury.Possible mechanisms of CO2 embolism and the potential ways of handling such an event are also discussed.Keywords：laparoscopic nephrectomy; 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| ispartof | Chinese medical journal, 2014, Vol.127 (15), p.2863-2864 |
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| source | MEDLINE; Directory of Open Access Journals; EZB Electronic Journals Library |
| subjects | Carbon Dioxide Cardiopulmonary Resuscitation Echocardiography, Transesophageal Embolism, Air - etiology Embolism, Air - therapy Female Humans Laparoscopy - adverse effects Middle Aged Nephrectomy - adverse effects 二氧化碳 切除术 微创手术 快速诊断 栓塞 肾脏疾病 腹腔镜 超声心动图 |
| title | Successful resuscitation after fatal carbon dioxide embolism during laparoscopic nephrectomy |
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