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Is intraoperative endoscopy safe in a child with Kasai procedure?

Vinayak S Pujari1, Mathews K Thomas, Yatish Bevinaguddaiah

  • 1Department of Anesthesiology, M S Ramaiah Medical College and Hospital, Bangalore, Karnataka, India.

Journal of Anaesthesiology, Clinical Pharmacology
|December 11, 2012
PubMed

Insights

A rare venous air embolism complication occurred during endoscopy in a child post-Kasai procedure, leading to fatal cardiac arrest. Increased awareness is crucial for prompt diagnosis and treatment to prevent such adverse events.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Gastroenterology

Background:

  • The Kasai procedure is a surgical treatment for biliary atresia.
  • Intraoperative endoscopy carries inherent risks, including rare but serious complications.

Observation:

  • A five-year-old boy, who previously underwent a Kasai procedure, experienced a cardiac arrest during intraoperative endoscopy.
  • This event was attributed to a venous air embolism.

Findings:

  • Venous air embolism is a potentially fatal complication during intraoperative procedures.
  • The case highlights a critical event in a pediatric patient with a history of specific surgery.

Implications:

  • Enhanced vigilance and rapid recognition of venous air embolism are vital for timely intervention.
  • This case underscores the importance of understanding rare complications in pediatric surgical patients to improve outcomes.

Keywords:
Biliary atresiaLiver surgeryembolismendoscopyintraoperative complicationsportoenterostomyvenous air embolism

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