Cardiovascular collapse during laparoscopy: a brief overview

Brian Wildey; David Berman; Mostafa A Borahay

doi:10.1007/s00404-023-07274-4

Cardiovascular collapse during laparoscopy: a brief overview

Arch Gynecol Obstet. 2024 May;309(5):2253-2256. doi: 10.1007/s00404-023-07274-4. Epub 2023 Nov 28.

Authors

Brian Wildey¹, David Berman², Mostafa A Borahay³

Affiliations

¹ Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, 4940 Eastern Avenue Room A121, Baltimore, MD, 21224-2780, USA. bwildey1@jh.edu.
² Department of Anesthesiology, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA.
³ Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, 4940 Eastern Avenue Room A121, Baltimore, MD, 21224-2780, USA.

PMID: 38015208
DOI: 10.1007/s00404-023-07274-4

Abstract

This review article considers the physiology, differential diagnosis and immediate management of vasovagal response, vascular injury and carbon dioxide embolism caused during the creation of the laparoscopic pneumoperitoneum. These pathologies account for over half of all laparoscopic complications and therefore, by taking a systematic approach to these possibly life-threatening events, laparoscopy can become even safer.

Keywords: Carbon dioxide embolism; Laparoscopic complications; Laparoscopic vascular injury; Laparoscopic vasovagal response; Pneumoperitoneum.

Publication types

Review

MeSH terms

Abdomen / surgery
Carbon Dioxide
Humans
Laparoscopy* / adverse effects
Pneumoperitoneum, Artificial* / adverse effects

Substances

Carbon Dioxide