{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T03:03:19Z","timestamp":1779937399107,"version":"3.53.1"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"ABSTRACT<\/jats:title>\n \n Laparoscopic surgeries have revolutionised surgical practice due to their advantages, including minimal invasiveness, fewer postoperative complications, quicker recovery and reduced hospital stay. Carbon dioxide (CO\n 2<\/jats:sub>\n ) is used for abdominal insufflation because of its inert nature, colorlessness, low cost, high solubility, low combustibility and wide availability. Despite these advantages, laparoscopy is not without complications\u2014it can cause hypotension, arrhythmia, pulmonary barotrauma and, rarely, carbon dioxide embolism (CO\n 2<\/jats:sub>\n E) and cardiac arrest. CO\n 2<\/jats:sub>\n E is commonly associated with cardiac arrest and has rarely been linked to acute respiratory distress syndrome (ARDS). Cases of CO\n 2<\/jats:sub>\n E complicated by ARDS have shown improvement with conventional invasive lung\u2010protective ventilation. However, CO\n 2<\/jats:sub>\n E complicated by severe ARDS with hypoxia refractory to standard therapy has not been reported. We report a case of CO\n 2<\/jats:sub>\n E complicated by severe ARDS with refractory hypoxia requiring extracorporeal membrane oxygenation (ECMO) therapy, which resulted in a favourable outcome.\n <\/jats:p>","DOI":"10.1002\/rcr2.70387","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T05:39:41Z","timestamp":1777700381000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gynaecological Laparoscopy Surgery Complicated Into\n \n CO\n 2<\/sub>\n <\/scp>\n Embolism, Cardiac Arrest and Severe\n ARDS<\/scp>\n Requiring\n ECMO<\/scp>\n Therapy"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6688-910X","authenticated-orcid":false,"given":"Jawdat","family":"Alali","sequence":"first","affiliation":[{"name":"Surgical Intensive Care Unit, Hamad Medical Corporation (HMC) Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umm\u2009 E.","family":"Amara","sequence":"additional","affiliation":[{"name":"Deccan College of Medical Sciences Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malek","family":"Abusannuga","sequence":"additional","affiliation":[{"name":"Surgical Intensive Care Unit, Hamad Medical Corporation (HMC) Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umme","family":"Nashrah","sequence":"additional","affiliation":[{"name":"Deccan College of Medical Sciences Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Firdous","family":"Ummunnisa","sequence":"additional","affiliation":[{"name":"Halima Al\u2010Tamimi OBGY Clinic Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nissar","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Surgical Intensive Care Unit, Hamad Medical Corporation (HMC) Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,1]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/iju5.12472"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.d01-1355.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2012.53.3.459"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/tcr-22-727"},{"key":"e_1_2_8_6_1","article-title":"Comparative Analysis of Laparoscopic Verses Open Procedure in Specific General Surgery","volume":"16","author":"Patil M. 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