Carbon dioxide pneumothorax during laparoscopic surgery.
Küçük Resim Yok
Tarih
2002
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
BACKGROUND: Anesthetic considerations for laparoscopic cholecystectomy are similar to those for other laparoscopic procedures and result from the creation of a pneumoperitoneum by insufflation of carbon dioxide (CO 2) into the abdominal cavity. The resultant problems such as decreased functional residual capacity, increased airway pressure, hypercarbia, and circulatory impairment are well known [1]. The reported case is that of a healthy 45-yr-old man who underwent elective laparoscopic cholecystectomy under general anesthesia. As surgery proceeded he developed hypercapnia (arterial blood partial pressure of CO 2 [pCO] 2], 97.1 mmHg; extrapolated end-tidal CO 2 tension [P ETCO 2], 90 mmHg) and hypoxemia (partial pressure of oxygen [pO 2], 53.1 mmHg). The cause was attributed to absorption of CO 2 directly related to the surgical pneumoperitoneum. This report illustrates the diagnosis and management of an unusual case of CO 2 absorption, resulting in hypercapnia and hypoxemia, and a spontaneous recovery within 30 to 60 min without need of thoracentesis.
Açıklama
Anahtar Kelimeler
carbon dioxide, aeration, article, artificial pneumothorax, case report, cholecystectomy, cholecystitis, chronic disease, human, male, methodology, middle aged, pneumomediastinum, pressure, Carbon Dioxide, Cholecystectomy, Laparoscopic, Cholecystitis, Chronic Disease, Humans, Insufflation, Male, Mediastinal Emphysema, Middle Aged, Partial Pressure, Pneumothorax, Artificial
Kaynak
Surgical endoscopy
WoS Q Değeri
Scopus Q Değeri
Q1
Cilt
16
Sayı
8
