• Paediatric anaesthesia · May 2013

    Case Reports

    Pneumoperitoneum for neonatal laparoscopy: how safe is it?

    • Melanie Olsen, Nicole Avery, Sanjeev Khurana, and Rob Laing.
    • Department of Children's Anesthesia, Women's and Children's Hospital, North Adelaide, SA, Australia. melanie.olsen@health.sa.gov.au
    • Paediatr Anaesth. 2013 May 1;23(5):457-9.

    AbstractWe 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.© 2013 Blackwell Publishing Ltd.

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