Journal
PEDIATRIC ANESTHESIA
Volume 23, Issue 5, Pages 457-459Publisher
WILEY-BLACKWELL
DOI: 10.1111/pan.12146
Keywords
neonatal; laparoscopy; carbon dioxide; gas embolism; complication; cardiac arrest
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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.
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