TY  - JOUR
T1  - A Rare Intraoperative Complication: Venous Air Embolism During Laparoscopic Cholecystectomy – A Case Report
AU  - Babayiğit, Münire
AU  - Durmuş, Elif
AU  - Kuzu, Sezer
AU  - Ari, Büşra
AU  - Cırık, Mustafa Özgür
AU  - Sazak, Hilal
PY  - 2025
DA  - September
Y2  - 2025
JF  - Sanatorium Medical Journal
JO  - Sanatorium Med J
PB  - T.C. Sağlık Bakanlığı Ankara Atatürk Sanatoryum Eğitim ve Araştırma Hastanesi
WT  - DergiPark
SN  - 3062-3944
SP  - 96
EP  - 99
VL  - 1
IS  - 2
LA  - en
AB  - Background: Venous air embolism (VAE) is a rare but potentially fatal complication that may occur in laparoscopic procedures, particularly during the creation of pneumoperitoneum. Rapid diagnosis and intervention are essential for preventing severe outcomes.Case Presentation: We report the case of a 24-year-old female patient who underwent elective laparoscopic cholecystectomy. Shortly after initiation of pneumoperitoneum, bradycardia, hypotension, hypoxemia, and a sudden decrease in end-tidal CO₂ developed. Immediate cessation of insufflation, placement of the patient in the Durant’s position, and central venous catheterization for air aspiration were performed. Approximately 20 cc of air was aspirated, leading to rapid hemodynamic stabilization. Conclusion: Prompt identification and management, including discontinuation of insufflation, Durant’s positioning, and central venous aspiration, provided rapid hemodynamic stabilization. This case emphasizes the importance of intraoperative alertness and rapid interventions in the management of VAE.
KW  - Venous air embolism
KW  - laparoscopy
KW  - anesthesia
KW  - insufflation
KW  - pneumoperitoneum
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UR  - https://dergipark.org.tr/en/pub/sanatoriummedj/issue//1732976
L1  - https://dergipark.org.tr/en/download/article-file/5015364
ER  -