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The aim is to understand the impact of surgical emphysema on carbon dioxide levels during laparoscopic surgery.

Surgical Emphysema as a Cause of Severe Hypercapnia during Laparoscopic Surgery

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The aim is to understand the impact of surgical emphysema on carbon dioxide levels during laparoscopic surgery.
Four case reports of surgical emphysema during laparoscopic surgery
Use of Monitor software to visualize anaesthetic records
Assessment of carbon dioxide elimination through minute ventilation and end-tidal carbon dioxide levels
Significant increases in end-tidal carbon dioxide levels were observed.
Carbon dioxide elimination rose two- to three-fold above normal levels in patients with surgical emphysema.
Visual tracking helped identify surgical emphysema in three out of four cases.

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Four cases reveal surgical emphysema causes severe hypercapnia during laparoscopic surgery, suggesting early identification strategies.

Critchley et al. (2010) studied this question.

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