{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:03:13Z","timestamp":1789578193409,"version":"build-2803163510"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1007\/s00464-026-13135-3","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T18:43:28Z","timestamp":1783968208000},"page":"7926-7931","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A pause before connecting insufflation tubing to decrease the risk of air embolism"],"prefix":"10.1007","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4266-2291","authenticated-orcid":false,"given":"Alex I.","family":"Halpern","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daragh","family":"Crowley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lowell A.","family":"Lobo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Shekhar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony D.","family":"Sandler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy D.","family":"Kane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"13135_CR1","doi-asserted-by":"publisher","first-page":"842","DOI":"10.1016\/j.jpedsurg.2008.11.045","volume":"44","author":"OY Kudsi","year":"2009","unstructured":"Kudsi OY, Jones SA, Brenn BR (2009) Carbon dioxide embolism in a 3-week-old neonate during laparoscopic pyloromyotomy: a case report. J Pediatr Surg 44:842\u2013845. https:\/\/doi.org\/10.1016\/j.jpedsurg.2008.11.045","journal-title":"J Pediatr Surg"},{"key":"13135_CR2","doi-asserted-by":"publisher","first-page":"760","DOI":"10.1213\/ANE.0B013E3181ADC6F9","volume":"109","author":"K Lalwani","year":"2009","unstructured":"Lalwani K, Aliason I (2009) Cardiac arrest in the neonate during laparoscopic surgery. Anesth Analg 109:760\u2013762. https:\/\/doi.org\/10.1213\/ANE.0B013E3181ADC6F9","journal-title":"Anesth Analg"},{"key":"13135_CR3","doi-asserted-by":"publisher","first-page":"774","DOI":"10.1007\/S12630-010-9320-6","volume":"57","author":"SP Taylor","year":"2010","unstructured":"Taylor SP, Hoffman GM (2010) Gas embolus and cardiac arrest during laparoscopic pyloromyotomy in an infant. Can J Anaesth 57:774\u2013778. https:\/\/doi.org\/10.1007\/S12630-010-9320-6","journal-title":"Can J Anaesth"},{"key":"13135_CR4","doi-asserted-by":"publisher","DOI":"10.1007\/S00464-025-12346-4","author":"S Fuentes","year":"2025","unstructured":"Fuentes S, Vicente-S\u00e1nchez N, Margarit-Estragu\u00e9s N, Flores-Villar S, P\u00e9rez-Poquet M, Gasca-Pera S, Alcoberro-Gonz\u00e1lez M, de la Maza-Segovia M, L\u00f3pez-Canos R, Rodriguez-Cornet M, Grande-Moreillo C (2025) Analysis of gas embolism in pediatric laparoscopy: incidence, risk factors, and preventive strategies. Surg Endosc. https:\/\/doi.org\/10.1007\/S00464-025-12346-4","journal-title":"Surg Endosc"},{"key":"13135_CR5","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1089\/lap.2022.0246","volume":"32","author":"KN Patterson","year":"2022","unstructured":"Patterson KN, Beyene TJ, Minneci PC, Diefenbach KA (2022) Rates of air embolism in pediatric patients undergoing surgical procedures of the peritoneum. J Laparoendosc Adv Surg Tech A 32:1220\u20131227. https:\/\/doi.org\/10.1089\/lap.2022.0246","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"13135_CR6","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1111\/pan.12146","volume":"23","author":"M Olsen","year":"2013","unstructured":"Olsen M, Avery N, Khurana S, Laing R (2013) Pneumoperitoneum for neonatal laparoscopy: how safe is it? Paediatr Anaesth 23:457\u2013459. https:\/\/doi.org\/10.1111\/pan.12146","journal-title":"Paediatr Anaesth"},{"key":"13135_CR7","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1056\/NEJMRA2116554","volume":"386","author":"SJ Mitchell","year":"2022","unstructured":"Mitchell SJ, Bennett MH, Moon RE (2022) Decompression sickness and arterial gas embolism. N Engl J Med 386:39\u201345. https:\/\/doi.org\/10.1056\/NEJMRA2116554","journal-title":"N Engl J Med"},{"key":"13135_CR8","doi-asserted-by":"publisher","first-page":"1819","DOI":"10.1055\/A-2508-2733","volume":"42","author":"Q Zhou","year":"2025","unstructured":"Zhou Q, Lee SK (2025) Vascular air embolism in neonates: a literature review. Am J Perinatol 42:1819\u20131824. https:\/\/doi.org\/10.1055\/A-2508-2733","journal-title":"Am J Perinatol"},{"key":"13135_CR9","doi-asserted-by":"publisher","first-page":"3964","DOI":"10.1007\/S00464-019-06683-4","volume":"33","author":"CR Huntington","year":"2019","unstructured":"Huntington CR, Prince J, Hazelbaker K, Lopes B, Webb T, LeMaster CB, Huntington TR (2019) Safety first: significant risk of air embolism in laparoscopic gasketless insufflation systems. Surg Endosc 33:3964\u20133969. https:\/\/doi.org\/10.1007\/S00464-019-06683-4","journal-title":"Surg Endosc"},{"key":"13135_CR10","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1152\/japplphysiol.01124.2016","volume":"122","author":"KM Christmas","year":"2017","unstructured":"Christmas KM, Bassingthwaighte JB (2017) Equations for O2 and CO2 solubilities in saline and plasma: combining temperature and density dependences. J Appl Physiol 122:1313\u20131320. https:\/\/doi.org\/10.1152\/japplphysiol.01124.2016","journal-title":"J Appl Physiol"},{"issue":"5","key":"13135_CR11","doi-asserted-by":"publisher","first-page":"1791","DOI":"10.1007\/S00464-012-2651-3","volume":"27","author":"S Richter","year":"2012","unstructured":"Richter S, Matthes C, Ploenes T, Aksakal D, Wowra T, H\u00fcckst\u00e4dt T, Schier F,\u00a0Kampmann C (2012) Air in the insufflation tube may cause fatal embolizations in laparoscopic surgery: an animal study. Surg Endosc 27(5):1791\u20131797. https:\/\/doi.org\/10.1007\/S00464-012-2651-3","journal-title":"Surg Endosc"},{"key":"13135_CR12","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1016\/j.jmig.2007.10.010","volume":"15","author":"FA Groenman","year":"2008","unstructured":"Groenman FA, Peters LW, Rademaker BMP, Bakkum EA (2008) Embolism of air and gas in hysteroscopic procedures: pathophysiology and implication for daily practice. J Minim Invasive Gynecol 15:241\u2013247. https:\/\/doi.org\/10.1016\/j.jmig.2007.10.010","journal-title":"J Minim Invasive Gynecol"},{"key":"13135_CR13","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1213\/ANE.0000000000000525","volume":"120","author":"SP Taylor","year":"2015","unstructured":"Taylor SP, Sato TT, Balcom AH, Groth T, Hoffman GM (2015) Gas analysis using Raman spectroscopy demonstrates the presence of intraperitoneal air (nitrogen and oxygen) in a cohort of children undergoing pediatric laparoscopic surgery. Anesth Analg 120:349\u2013354. https:\/\/doi.org\/10.1213\/ANE.0000000000000525","journal-title":"Anesth Analg"},{"key":"13135_CR14","unstructured":"U.S. Food & Drug Administration (2017) 510(k) premarket notification. https:\/\/www.accessdata.fda.gov\/scripts\/cdrh\/cfdocs\/cfPMN\/pmn.cfm?ID=K161554. Accessed 3 Mar 2026"},{"key":"13135_CR15","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2014.07.002","author":"C Tognon","year":"2014","unstructured":"Tognon C, De Corti F, Michelon S, Gamba P (2014) Carbon dioxide embolism during laparoscopic lymph-node biopsy in a girl: a rare occurrence. J Pediatr Surg Case Rep. https:\/\/doi.org\/10.1016\/j.epsc.2014.07.002","journal-title":"J Pediatr Surg Case Rep"},{"key":"13135_CR16","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjy119","author":"L Dichiacchio","year":"2018","unstructured":"Dichiacchio L, Cappiello CD, Greenspon J (2018) Extracorporeal cardiopulmonary resuscitation in a neonate after air embolism during insufflation for laparoscopic peritoneal dialysis catheter placement. J Surg Case Rep. https:\/\/doi.org\/10.1093\/jscr\/rjy119","journal-title":"J Surg Case Rep"},{"key":"13135_CR17","doi-asserted-by":"publisher","first-page":"1011","DOI":"10.1089\/lap.2023.0101","volume":"33","author":"S Fuentes","year":"2023","unstructured":"Fuentes S, Grande-Moreillo C, Margarit-Mallol J, Flores-Villar S, Sol\u00e9-Heuberger E, Jaen-Manzanera A (2023) Gas embolism in pediatric minimally invasive surgery: should it be a concern? J Laparoendosc Adv Surg Tech A 33:1011\u20131017. https:\/\/doi.org\/10.1089\/lap.2023.0101","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"13135_CR18","doi-asserted-by":"publisher","first-page":"366","DOI":"10.3109\/13645700903384443","volume":"18","author":"YC Abut","year":"2009","unstructured":"Abut YC, Eryilmaz R, Okan I, Erkalp K (2009) Venous air embolism during laparoscopic cholecystectomy. Minim Invasive Ther Allied Technol 18:366\u2013368. https:\/\/doi.org\/10.3109\/13645700903384443","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"13135_CR19","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1016\/S0750-7658(85)80111-8","volume":"4","author":"C Gomar","year":"1985","unstructured":"Gomar C, Fernandez C, Villalonga A, Nalda MA (1985) Carbon dioxide embolism during laparoscopy and hysteroscopy. Ann Fr Anesth Reanim 4:380\u2013382. https:\/\/doi.org\/10.1016\/S0750-7658(85)80111-8","journal-title":"Ann Fr Anesth Reanim"},{"key":"13135_CR20","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1097\/ALN.0b013e3181a05ac7","volume":"111","author":"CS Kim","year":"2009","unstructured":"Kim CS, Kim JY, Kwon JY, Choi SH, Na S, An J, Kim KJ (2009) Venous air embolism during total laparoscopic hysterectomy: comparison to total abdominal hysterectomy. Anesthesiology 111:50\u201354. https:\/\/doi.org\/10.1097\/ALN.0b013e3181a05ac7","journal-title":"Anesthesiology"},{"key":"13135_CR21","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1089\/lap.2005.15.387","volume":"15","author":"WS Cobb","year":"2005","unstructured":"Cobb WS, Fleishman HA, Kercher KW, Matthews BD, Heniford BT (2005) Gas embolism during laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A 15:387\u2013390. https:\/\/doi.org\/10.1089\/lap.2005.15.387","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"13135_CR22","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1097\/SLA.0B013E3181B3B2D8","volume":"250","author":"JF Buell","year":"2009","unstructured":"Buell JF, Cherqui D, Geller DA, O\u2019Rourke N, Iannitti D, Dagher I, Koffron AJ, Thomas M, Gayet B, Han HS, Wakabayashi G, Belli G, Kaneko H, Ker CG, Scatton O, Laurent A, Abdalla EK, Chaudhury P, Dutson E, Gamblin C, D\u2019Angelica M, Nagorney D, Testa G, Labow D, Manas D, Poon RT, Nelson H, Martin R, Clary B, Pinson WC, Martinie J, Vauthey JN, Goldstein R, Roayaie S, Barlet D, Espat J, Abecassis M, Rees M, Fong Y, McMasters KM, Broelsch C, Busuttil R, Belghiti J, Strasberg S, Chari RS (2009) The international position on laparoscopic liver surgery: the Louisville statement, 2008. Ann Surg 250:825\u2013830. https:\/\/doi.org\/10.1097\/SLA.0B013E3181B3B2D8","journal-title":"Ann Surg"},{"key":"13135_CR23","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1016\/j.jpedsurg.2021.11.010","volume":"57","author":"JA Fraser","year":"2022","unstructured":"Fraser JA, Briggs KB, Svetanoff WJ, Rentea RM, Aguayo P, Juang D, Fraser JD, Snyder CL, Hendrickson RJ, St. Peter SD, Oyetunji TA (2022) Umbilical access in laparoscopic surgery in infants less than 3 months: a single institution retrospective review. J Pediatr Surg 57:277\u2013281. https:\/\/doi.org\/10.1016\/j.jpedsurg.2021.11.010","journal-title":"J Pediatr Surg"},{"key":"13135_CR24","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1056\/NEJM200002173420706","volume":"342","author":"C Laus","year":"2000","unstructured":"Laus C, Uth MM, Hank RSS (2000) Gas embolism. N Engl J Med 342:476\u2013482. https:\/\/doi.org\/10.1056\/NEJM200002173420706","journal-title":"N Engl J Med"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-13135-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-026-13135-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-13135-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:18:19Z","timestamp":1789575499000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-026-13135-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":24,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["13135"],"URL":"https:\/\/doi.org\/10.1007\/s00464-026-13135-3","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]},"assertion":[{"value":"24 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Alex I. Halpern, Daragh Crowley, Lowell A. Lobo, Raj Shekhar, Anthony D. Sandler, and Timothy D. Kane have no conflicts of interest to disclose.","order":1,"name":"Ethics","label":"Disclosures","group":{"name":"EthicsHeading","label":"Declarations"}}]}}