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Type: Journal article
Title: Pneumoperitoneum for neonatal laparoscopy: how safe is it?
Author: Olsen, M.
Avery, N.
Khurana, S.
Laing, R.
Citation: Paediatric Anaesthesia, 2013; 23(5):457-459
Publisher: Wiley
Issue Date: 2013
ISSN: 1155-5645
Editor: Polaner, D.
Statement of
Melanie Olsen, Nicole Avery, Sanjeev Khurana, Rob Laing
Abstract: 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.
Keywords: neonatal
carbon dioxide
gas embolism
cardiac arrest
Description: Article first published online: 21 MAR 2013
Rights: © 2013 Blackwell Publishing Ltd
DOI: 10.1111/pan.12146
Appears in Collections:Aurora harvest 7
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