Laparoscopic nephrectomy · Rescue · D46
The gas that went the wrong way
Allow about two minutes for three rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.
The scenario
- Laparoscopic nephrectomy.
- Insufflation is running.
- Dissection is near a large vein.
What you see
- The anaesthetist reports a sudden fall in end-tidal carbon dioxide with a fall in blood pressure and a change in heart sounds.
Teaching only · not for diagnosis or treatment decisions