Successful resuscitation after suspected carbon dioxide embolism during laparoscopic ureteric reconstructive surgery.

Research paper by Kalpana S KS Vora, Veena R VR Shah, Geeta P GP Parikh, Pranjal R PR Modi

Indexed on: 02 Oct '13Published on: 02 Oct '13Published in: Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine


Carbon dioxide (CO2) embolism is a rare but potentially fatal complication of laparoscopic surgery. We report a case of presumed CO2 embolism in a 35-year-old female during laparoscopic ureteric reconstructive surgery. After 2 h of operating time, a sudden decrease in end-tidal carbon dioxide and deterioration of hemodynamic status followed by cardiac arrest with pulseless electrical activity suggested gas embolism. Immediate cardiopulmonary resuscitation and inotropic support resulted in successful outcome. Thus, early recognition of the complication and prompt treatment can avoid catastrophy.