Anesthetic Management during Laparoscopic Excision of an Urachal Cyst in a Pediatric Patient: A case report.
10.4097/kjae.2005.49.3.425
- Author:
Jang Hee LYU
1
;
Kyoung Min LEE
;
Seung Yun LEE
;
Jun Geol LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea. kyoungmlee@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
hypercarbia;
intra-abdominal pressure;
laparoscopic excision;
urachal cyst
- MeSH:
Anesthesia, General;
Blood Pressure;
Female;
Heart Rate;
Humans;
Infant;
Insufflation;
Thiopental;
Urachal Cyst*;
Vecuronium Bromide
- From:Korean Journal of Anesthesiology
2005;49(3):425-428
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 14-month-old female patient was admitted for the laparoscopic excision of a complicated urachal cyst. General anesthesia was induced with thiopental and rocuronium and maintained with sevoflurane and the intermittent administration of vecuronium. During the insufflation of CO2 her intra-abdominal pressure was maintained below 12 cmH2O to avoid excessive hypercarbia. Thirty minutes after CO2 insufflation initiation, end tidal CO2 increased to 74 mmHg at a peak inspiratory airway pressure of 24 cmH2O. Laparoscopic excision of the urachal cyst was performed within 2 hours without a further change in end tidal CO2, blood pressure, heart rate, or O2 saturation. Before extubation, O2 saturation by pulse oxymetry was 99% and end tidal CO2 was 45-50 mmHg. The patient was discharged without any problem 5 days after the operation. We report on this clinical experience and include a brief review of the literature.
