Carbon dioxide: the cause of devastating stroke without hemodynamic compromise during laparoscopic nephrectomy with injury of the inferior vena cava: A case report.
Youxiu YaoMao XuPublished in: Medicine (2021)
Our results emphasize the need for vigilance regarding adverse cardiovascular and neurological events caused by carbon dioxide gas embolisms when encountering the inadvertent situation of vessels rupturing. Timely monitoring of paradoxical gas embolism by transoesophageal echocardiography is necessary and can avert the risk of severe complications. Urgent consideration should be given to stopping pneumoperitoneum and switching to laparotomy for hemostasis so that the patient can obtain the best benefit-risk ratio.
Keyphrases
- carbon dioxide
- inferior vena cava
- robot assisted
- pulmonary embolism
- vena cava
- atrial fibrillation
- case report
- computed tomography
- left ventricular
- pulmonary hypertension
- early onset
- cerebral ischemia
- risk factors
- minimally invasive
- left atrial appendage
- editorial comment
- heart failure
- drug induced
- adverse drug
- brain injury
- blood brain barrier