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Acta Anaesthesiol Taiwan · Dec 2013
Case ReportsPneumoperitoneum complicated pneumomediastinum causing cardiovascular deterioration in a low-body-weight premature infant during laparoscopic Nissen fundoplication.
- Mei-Chi Lin, Chia-Lin Lee, Chea-Ying Chen, and Ruey-Horng Rau.
- Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan. Electronic address: evita0715@gmail.com.
- Acta Anaesthesiol Taiwan. 2013 Dec 1;51(4):177-9.
AbstractDue to smaller incisions, fewer wound injuries, and a shorter time of recovery, laparoscopic procedures are becoming increasingly popular in pediatric surgery, but the safety of their application in low-body-weight or premature infants should be a major concern. Here we present a case report of a 3-month-old premature infant, who developed a sudden change of hemodynamic instability while undergoing a laparoscopic Nissen's fundoplication for gastroesophageal reflex disease. This was thought to result from an accidental passage of massive insufflation of carbon dioxide gas across the diaphragm, leading to pneumomediastinum.Copyright © 2013. Published by Elsevier B.V.
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