Pneumoperitoneum for neonatal laparoscopy: how safe is it?

被引：21
|
作者：
Olsen, Melanie [1 ]
Avery, Nicole [2 ]
Khurana, Sanjeev [3 ]
Laing, Rob [1 ]
机构：
[1] Womens & Childrens Hosp, Dept Childrens Anesthesia, Adelaide, SA 5006, Australia
[2] Mater Childrens Hosp, Dept Pediat Surg, Brisbane, SA, Australia
[3] Womens & Childrens Hosp, Dept Pediat Surg & Urol, Adelaide, SA 5006, Australia
来源：
PEDIATRIC ANESTHESIA | 2013年 / 23卷 / 05期
关键词：
neonatal; laparoscopy; carbon dioxide; gas embolism; complication; cardiac arrest; CARBON-DIOXIDE EMBOLISM; DUCTUS VENOSUS; CARDIAC-ARREST; PYLOROMYOTOMY; SURGERY;
D O I：
10.1111/pan.12146
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We present the case of a 3 day old term neonate who experienced a cardiopulmonary arrest during creation of pneumoperitoneum for laparoscopic repair of duodenal atresia. The arrest was thought likely to have occurred as a result of a gas embolism. We discuss the features of the neonatal circulation which may predispose neonates to embolic phenomena during laparoscopic procedures, and the potential benefit of priming the insufflation apparatus with carbon dioxide. The possibility of gas embolism should be considered when contemplating laparoscopic surgery in this patient group.
引用
收藏
页码：457 / 459
页数：3
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