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Updated: Dec 29, 2025
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
Endotracheal administration for intraoperative acute massive pulmonary embolism during laparoscopic hepatectomy: A
Yu Liu1, LianYing Zhao, ShuQin Wang
1Department of Anesthesiology, Qilu Hospital of Shandong University, Jinan, China.
Introduction:
Acute pulmonary embolism (APE) during an operation is a very urgent occurrence, especially when the patient with hemodynamic instability. Generally, drugs are administered intravenously; however, these drugs have little effects under most circumstances. We present a case of successful resuscitation in a patient with endotracheal administration.
Patient Concerns:
A 67-year-old female presented for laparoscopic hepatectomy. Acute pulmonary gas embolism occurred during the operation with hemodynamic instability. The total amount of carbon dioxide and argon reached 300 mL. We used a novel way of administering drugs instead of intravenous administration for rescuing and the patient condition had improved greatly and was discharged from the hospital without any neurological deficits.
Diagnoses:
A diagnosis of APE was made because of a lot of gas was extracted out from central venous catheter and sudden observable decrease in end-tidal CO2.
Interventions:
These measures included endotracheal administration, position adjustment, manual ventilation, and gas extraction.
Outcomes:
The patient was discharged from the hospital and had no signs of neurological deficits.
Conclusion:
Intravenous administration may not the best appropriate way of administration when patients occurred APE. Endotracheal administration as a unique method may work wonders and has the value of research and application.
