Hypercapnic coma at the postanesthesia care unit: A case report.
10.4097/kjae.2009.57.3.403
- Author:
Yong Hun LEE
1
;
Myong Sook JEON
;
Kook Hyun LEE
;
Chul Woo JUNG
Author Information
1. Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea. spss@snuh.org
- Publication Type:Case Report
- Keywords:
Carbon dioxide;
Coma;
Opioid
- MeSH:
Abdominal Pain;
Acidosis;
Anesthesia, General;
Carbon Dioxide;
Coma;
Eye;
Female;
Humans;
Hypercapnia;
Ileus;
Intensive Care Units;
Intubation;
Laparotomy;
Masks;
Middle Aged;
Morphine;
Neoplasm Metastasis;
Oxygen;
Rectal Neoplasms;
Reflex;
Respiration, Artificial
- From:Korean Journal of Anesthesiology
2009;57(3):403-406
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 59-year-old woman underwent explorative laparotomy under general anesthesia for mechanical ileus. The patient had rectal cancer with multiple metastasis, and was receiving 1.5-2 mg of intravenous morphine per hour due to severe abdominal pain. After about 3 hours of general anesthesia, the patient was extubated and transferred to postanesthesia care unit. The patient was supplied with 6 L/min of oxygen by facial mask. In 30 minutes, the patient showed no response to verbal order and pain stimulus with sluggish eye reflex, although pulse-oximeter showed 98-99%. After emergent intubation, arterial blood gas was sampled, and the result showed severe acidosis with hypercapnia. The patient was transferred to intensive care unit, and after 1 hour of mechanical ventilation the patient became conscious then fully recovered without further complication.
