Case Report

Successful Resuscitation From Sudden Cardiac Arrest Caused by Gas Embolism During Hysteroscopy

Rong Xu , Xianfei Xu , Yunfei Cao
Department of Anesthesiology, the First People’s Hospital of Beilun District, Ningbo, China
J Anesth Perioper Med 2019; 6(X): X- XX . Published on Jan 5, 2019 . doi:10.24015/JAPM.2019.0005
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Abstract

One of the catastrophic complications of operative hysteroscopy is venous gas embolism (VGE), and this event could cause morbidity and in serious cases lead to death. Here we present a rare case with a sudden cardiac arrest caused by VGE during hysteroscopic surgery. Fortunately, our vigilant anesthesiologist noticed the early change of VGE with a sudden drop in end-tidal CO2 (EtCO2), and as the cardiac arrest occurred, we quickly took interventional maneuvers including termination of the surgical procedure, adjustment of the patient's position, cardiac resuscitation, continuous chest compression, and correction of internal environment disorder. Finally, the patient had an uneventful recovery without any neurological deficits. This case report emphasizes that early detection and timely intervention can prevent life-threatening VGE associated with a sudden cardiac arrest during hysteroscopy even in primary hospitals.

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