Anesth Pain Med.
2010 Jan;5(1):67-69.
Atrial flutter associated with high pressure pneumoperitoneum during laparoscopic gastrectomy: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, Gachon University of Medicine and Science, Gil Medical Center, Incheon, Korea. khs@gilhospital.com
Abstract
- Pneumoperitoneum associated with carbon dioxide (CO2) insufflation may induce alterations in electrocardiographic variables, which may produce severe atrial and ventricular arrhythmias.We now present a case in which atrial flutter developed after CO2 insufflation in a patient undergoing laparoscopic subtotal gastrectomy.Although the ECG change was reversed after desufflation, one should keep in mind the increased propensity to atrial and ventricular arrhythmias during laparoscopy with high intra-abdominal pressure.
