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Detection of subclinical CO2 embolism by transesophageal echocardiography during laparoscopic radical prostatectomy

DC FieldValueLanguage
dc.contributor.author김원옥-
dc.contributor.author홍정연-
dc.contributor.author길혜금-
dc.date.accessioned2015-04-23T16:31:57Z-
dc.date.available2015-04-23T16:31:57Z-
dc.date.issued2010-
dc.identifier.issn0090-4295-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100755-
dc.description.abstractOBJECTIVES: To document incidences of subclinical embolism in laparoscopic radical prostatectomy with continuous monitoring using transesophageal echocardiography (TEE). METHODS: A total of 43 patients scheduled for elective robotic-assisted laparoscopic radical prostatectomy under general anesthesia were enrolled in this study. A 4-chamber view of 5.0-MHz multiplane TEE was continuously monitored to detect any intracardiac bubbles as an embolism. An independent TEE specialist reviewed the tapes for interpretation, and emboli were classified as 1 of 5 stages. Cardiorespiratory instability during gas emboli entry was defined as an appearance of cardiac arrhythmias, sudden decrease in mean arterial blood pressure >20 mm Hg, or an episode of pulse oximetric saturation <90%. RESULTS: Gas embolisms were observed in 7 of 41 (17.1%) patients during transection of the deep dorsal venous complex. Of them, 1, 3, 1, and 2 showed stage I, II, III, and IV, respectively. However, there were no signs of cardiorespiratory instability associated with emboli. The 95% confidence interval for gas embolism was 0.204%-0.138%. No correlation was observed between episodes of gas embolism and blood gas variables or end-tidal CO(2) partial pressure. CONCLUSIONS: Subclinical gas embolisms occur in 17.1% of laparoscopic radical prostatectomies. We should consider that this procedure has a potential for serious gas embolism, especially with the increasing popularity of laparoscopic prostatectomy using robot-assisted techniques.-
dc.description.statementOfResponsibilityopen-
dc.format.extent581~584-
dc.relation.isPartOfUROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHCarbon Dioxide*/administration & dosage-
dc.subject.MESHEchocardiography, Transesophageal*-
dc.subject.MESHEmbolism, Air/diagnostic imaging*-
dc.subject.MESHEmbolism, Air/epidemiology*-
dc.subject.MESHHeart Diseases/diagnostic imaging*-
dc.subject.MESHHeart Diseases/epidemiology*-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHIntraoperative Complications/diagnostic imaging*-
dc.subject.MESHIntraoperative Complications/epidemiology*-
dc.subject.MESHLaparoscopy*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHProstatectomy/methods*-
dc.titleDetection of subclinical CO2 embolism by transesophageal echocardiography during laparoscopic radical prostatectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorJeong-Yeon Hong-
dc.contributor.googleauthorWon Oak Kim-
dc.contributor.googleauthorHae Keum Kil-
dc.identifier.doi10.1016/j.urology.2009.04.064-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00766-
dc.contributor.localIdA04430-
dc.contributor.localIdA00283-
dc.relation.journalcodeJ02775-
dc.identifier.eissn1527-9995-
dc.identifier.pmid19879638-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0090429509006153-
dc.contributor.alternativeNameKim, Won Oak-
dc.contributor.alternativeNameHong, Jeong Yeon-
dc.contributor.alternativeNameKil, Hae Keum-
dc.contributor.affiliatedAuthorKim, Won Oak-
dc.contributor.affiliatedAuthorHong, Jeong Yeon-
dc.contributor.affiliatedAuthorKil, Hae Keum-
dc.citation.volume75-
dc.citation.number3-
dc.citation.startPage581-
dc.citation.endPage584-
dc.identifier.bibliographicCitationUROLOGY, Vol.75(3) : 581-584, 2010-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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