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KMID : 1155520100050010067
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Anesthesia and Pain Medicine
2010 Volume.5 No. 1 p.67 ~ p.69
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Atrial flutter associated with high pressure pneumoperitoneum during laparoscopic gastrectomy -A case report-
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Kwak Hyun-Jeong
Lee Kyung-Cheon
Kim Hong-Soon
Lee Dong-Chul
Kim Seung-Hwan
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Abstract
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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.
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KEYWORD
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Atrial flutter, Laparoscopy, Pneumoperitoneum
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