After insertion of trocar for laparoscopic hernia repair, the pt went into asystole.Cpr was initiated and the case was converted to an open procedure.A laceration was found in the inferior vena cava.Bleeding was controlled by applying direct pressure once the laceration was found but repair was not possible due to location of laceration and because of motion of chest during chest compressions.Continued efforts at resuscitation/stabilization failed.The pt remained in asystole and after 58 minutes, the code was called.Pt expired.Surgeon states trocar punctured inferior vena cava.
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