J Reprod Med
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Randomized Controlled Trial Comparative Study Clinical Trial
Laparoscopy. Gasless vs. CO2 pneumoperitoneum.
To compare gasless laparoscopy with conventional laparoscopy using CO2 pneumoperitoneum. ⋯ The markedly increased technical difficulty and absence of clear clinical benefits for the healthy patient led to the conclusion that laparoscopy with CO2 pneumoperitoneum is preferable for routine LTC and most laparoscopic procedures in the pelvis. Gasless laparoscopy may be of benefit for the fragile patient with a compromised cardiovascular system who may suffer complications from hypercarbenemia.
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Case Reports
Hyperbaric oxygen treatment during pregnancy in acute carbon monoxide poisoning. A case report.
Carbon monoxide poisoning in pregnancy is a relatively rare occurrence, with potentially serious complications for both mother and fetus. Controversy regarding treatment during pregnancy exists primarily due to the concern for oxygen toxicity in the fetus. However, rapid oxygen dissociation and prolonged clearance of carbon monoxide in the fetal circulation emphasize the importance of adhering to aggressive treatment protocols. ⋯ This case supports previously published recommendations for treating acute carbon monoxide poisoning during pregnancy with hyperbaric oxygen. As more cases are gathered, a more widely accepted set of standards can be established.