Severe Hypercapnia Occurred by Anesthetized Child with Treated Bronchitis during an Operation for Bilateral Hutch's Diverticulum of Bladder: A case report.
10.4097/kjae.1998.35.2.365
- Author:
Bong Su CHUNG
1
;
Seon A LIM
;
Pyeong Hee KANG
Author Information
1. Department of Anesthesiology, Eulji Medical College, Taejeon, Korea.
- Publication Type:Case Report
- Keywords:
Complication: hypercapnea;
Anesthesia: general, pediatric
- MeSH:
Anesthesia;
Anesthesia, General;
Bronchitis*;
Child*;
Cough;
Diverticulum*;
Humans;
Hypercapnia*;
Hyperventilation;
Infant;
Male;
Metaproterenol;
Operating Rooms;
Prednisolone;
Respiratory Sounds;
Sodium Bicarbonate;
Sputum;
Suction;
Urinary Bladder*
- From:Korean Journal of Anesthesiology
1998;35(2):365-370
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 23-month-old male patient with treated bronchitis underwent a surgery for the repair of bilateral Hutch's diverticulum of bladder under general anesthesia. He treated bronchitis during 2 weeks since 3 weeks before operation. Arriving operating room, he had mild coughing with sputum. During anesthesia, he was well ventilated but endotracheal secretion was profuse. At ABGA of 2 hours after starting anesthesia, severe hypercapnea(PaCO2: 190.2 mmHg) and severe acidosis(PH: 6.746) were checked. Active treatment was done by suction of endotracheal secretion, hyperventilation, PEEP(5~10 cmH2O), increasing fresh gas flow rate(3.6 L/min --> 7 L/min), and administration of sodium bicarbonate, orciprenaline sulfate and methyl- prednisolone. After 3 hours of treatment, ABGA was normalized and symptoms including wheezing were relieved.
