Perioperative Management of a Patient With a CO2 Embolism

Document Type

Conference Proceeding

Publication Date

10-19-2024

Abstract

This case discusses a healthy 57 yo female who presented for a robotic hepatic cyst fenestration. During inflation of the abdomen intraoperatively, EtO2 decreased from 31 to 13, with bradycardia in the 30s and eventual asystole necessitating CPR. ROSC was achieved after 5 minutes, and arterial line and CVC were placed with aspiration of venous air. Intraoperative TEE showed a large amount of right and left sided intracardiac air and a PFO; raising concern for possible neurologic involvement. This case will discuss management and complications of a CO2 embolism, and proper postoperative care.

Comments

American Society of Anesthesiologists Annual Meeting, October 18-22, 2024, Philadelphia, PA

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