Document Detail

Haemodynamic conditions enhancing gas embolism after venous injury during laparoscopy: a study in pigs.
MedLine Citation:
PMID:  9175974     Owner:  NLM     Status:  MEDLINE    
This study was designed to determine the conditions that promote carbon dioxide embolism after venous injury during laparoscopy in pigs. Injury to an iliac vein was filmed during laparoscopy in the presence of a pneumoperitoneum created at increasing pressures from 0 to 30 mm Hg in 5-mm Hg increments. At intraperitoneal pressures less than 20 mm Hg, there was a parallel increase in femoral venous pressures, resulting in haemorrhage, with persistent blood flow to the inferior vena cava. At intraperitoneal pressures of 20-30 mm Hg, there was collapse of the femoral vein, occurring earlier in the presence of hypovolaemia. Between these two states (haemorrhage and collapse), there was a point of equilibrium which allowed retrograde venous penetration of carbon dioxide bubbles. During release of the pneumoperitoneum, these bubbles were exteriorized through the area of the injury, but some passed into the inferior vena cava where their presence was detected by an oesophageal Doppler probe.
J E Bazin; T Gillart; P Rasson; N Conio; L Aigouy; P Schoeffler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  78     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-06-19     Completed Date:  1997-06-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  570-5     Citation Subset:  IM    
Department of Anaesthesia, Centre Hospitalier Universitaire, Hopital Gabriel, Montpied, Clermont-Ferrand, France.
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MeSH Terms
Blood Pressure / physiology
Carbon Dioxide
Embolism, Air / etiology*
Femoral Vein / physiopathology
Heart Rate / physiology
Hemodynamics / physiology*
Iliac Vein / injuries*
Laparoscopy / adverse effects*
Pneumoperitoneum, Artificial / adverse effects*
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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