Intraoperative Cardiac Arrest Triggered by Carbon Dioxide Insufflation During Laparoscopic Surgery: A Case Report

Minimally invasive laparoscopic surgeries, favored for their reduced postoperative pain and quicker recovery times, may pose intraoperative hemodynamic risks due to the creation of pneumoperitoneum. This case report presents an episode of sudden cardiac arrest following carbon dioxide (CO2) insufflation during an elective robotic-assisted multispecialty endometrial excision in a female patient in her 40s. Despite preoperative assessment indicating low perioperative risk, the patient experienced severe bradycardia, progressing rapidly to asystole after CO2 insufflation. The case report emphasizes the importance of early detection and timely intervention for cardiac complications during laparoscopic surgeries.