An Acute Postoperative Intractable Hyperventilation after an Endoscopic Third Ventriculostomy.
10.3340/jkns.2012.51.3.173
- Author:
Hae Mi LEE
1
;
Kyung Bae SHIN
;
Seong Ho KIM
;
Dae Lim JEE
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Medicine, Yeungnam University, Daegu, Korea. adjee@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Central neurogenic hyperventilation;
Endoscopic third ventriculostomy;
Sedation
- MeSH:
Benzodiazepines;
Cold Temperature;
Female;
Fentanyl;
Humans;
Hyperventilation;
Masks;
Middle Aged;
Oxygen;
Respiratory Center;
Respiratory Rate;
Thiopental;
Ventilation;
Ventriculostomy
- From:Journal of Korean Neurosurgical Society
2012;51(3):173-176
- CountryRepublic of Korea
- Language:English
-
Abstract:
This report describes a rare case of postoperative hyperventilation attack after an endoscopic third ventriculostomy in a 46-year-old woman. About 60 min after the termination of the operation, an intractable hyperventilation started with respiratory rate of 65 breaths/min and EtCO2, 16.3 mm Hg. Sedation with benzodiazepine, thiopental sodium, fentanyl, and propofol/remifentanil infusion was tried under a rebreathing mask at a 4 L/min of oxygen. With aggressive sedative challenges, ventilation pattern was gradually returned to normal during the 22 hrs of time after the surgery. A central neurogenic hyperventilation was suspected due to the stimulating central respiratory center by cold acidic irrigation solution during the neuroendoscopic procedure.
