Venous gas embolism: An unusual complication of laparoscopic cholecystectomy
Venous gas embolism (VGE) is a rare but potentially lethal complication of many forms of surgery, especially posterior fossa neurosurgery where the incidence is reported to be up to 80% - it can also occur in laparoscopic surgery. It usually occurs early in the procedure during insufflati...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2009-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2009;volume=5;issue=2;spage=35;epage=36;aulast=Wenham |
| _version_ | 1818133467152515072 |
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| author | Wenham Tim Graham Donald |
| author_facet | Wenham Tim Graham Donald |
| author_sort | Wenham Tim |
| collection | DOAJ |
| description | Venous gas embolism (VGE) is a rare but potentially lethal complication of many forms of surgery, especially posterior fossa neurosurgery where the incidence is reported to be up to 80% - it can also occur in laparoscopic surgery. It usually occurs early in the procedure during insufflation of the abdomen. Rapid entry or large volumes of gas entering the venous circulation initiate a predictable chain of pathophysiological events which may continue to cardiovascular collapse. Arterial hypoxaemia, hypercapnia, decreased end-tidal CO<sub> 2</sub> , arrhythmias, myocardial ischaemia and elevated central venous and pulmonary arterial pressures can occur. The management of VGE relies on a high index of suspicion and close liaison between anaesthetist, surgeon and theatre staff. The authors present a case of venous gas embolism (VGE) during laparoscopic cholecystectomy (LC) which presented without many of the usual clinical features and was diagnosed by auscultation of a millwheel murmur. |
| first_indexed | 2024-12-11T08:53:11Z |
| format | Article |
| id | doaj.art-d4a525cbd8c94157a9da03746aea25b3 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-11T08:53:11Z |
| publishDate | 2009-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-d4a525cbd8c94157a9da03746aea25b32022-12-22T01:13:57ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212009-01-01523536Venous gas embolism: An unusual complication of laparoscopic cholecystectomyWenham TimGraham DonaldVenous gas embolism (VGE) is a rare but potentially lethal complication of many forms of surgery, especially posterior fossa neurosurgery where the incidence is reported to be up to 80% - it can also occur in laparoscopic surgery. It usually occurs early in the procedure during insufflation of the abdomen. Rapid entry or large volumes of gas entering the venous circulation initiate a predictable chain of pathophysiological events which may continue to cardiovascular collapse. Arterial hypoxaemia, hypercapnia, decreased end-tidal CO<sub> 2</sub> , arrhythmias, myocardial ischaemia and elevated central venous and pulmonary arterial pressures can occur. The management of VGE relies on a high index of suspicion and close liaison between anaesthetist, surgeon and theatre staff. The authors present a case of venous gas embolism (VGE) during laparoscopic cholecystectomy (LC) which presented without many of the usual clinical features and was diagnosed by auscultation of a millwheel murmur.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2009;volume=5;issue=2;spage=35;epage=36;aulast=WenhamCO<sub> 2</sub> embolismlaparoscopic cholecystectomymillwheel murmurvenous gas embolism |
| spellingShingle | Wenham Tim Graham Donald Venous gas embolism: An unusual complication of laparoscopic cholecystectomy Journal of Minimal Access Surgery CO<sub> 2</sub> embolism laparoscopic cholecystectomy millwheel murmur venous gas embolism |
| title | Venous gas embolism: An unusual complication of laparoscopic cholecystectomy |
| title_full | Venous gas embolism: An unusual complication of laparoscopic cholecystectomy |
| title_fullStr | Venous gas embolism: An unusual complication of laparoscopic cholecystectomy |
| title_full_unstemmed | Venous gas embolism: An unusual complication of laparoscopic cholecystectomy |
| title_short | Venous gas embolism: An unusual complication of laparoscopic cholecystectomy |
| title_sort | venous gas embolism an unusual complication of laparoscopic cholecystectomy |
| topic | CO<sub> 2</sub> embolism laparoscopic cholecystectomy millwheel murmur venous gas embolism |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2009;volume=5;issue=2;spage=35;epage=36;aulast=Wenham |
| work_keys_str_mv | AT wenhamtim venousgasembolismanunusualcomplicationoflaparoscopiccholecystectomy AT grahamdonald venousgasembolismanunusualcomplicationoflaparoscopiccholecystectomy |