Clinical Trial of Tracheal Gas Insufflation to Control Hypercapnia Occured during Laparoscopic Surgery: A Case Report.
- Author:
Seong Sik KANG
1
Author Information
1. Department of Anesthesiology and Pain Medicine, Kangwon National University Medical School, Chuncheon, Korea. sskang@kangwon.ac.kr
- Publication Type:Clinical Trial ; Case Report
- Keywords:
Carbon dioxide;
Hypercapnia;
Laparoscopy;
Pneumoperitoneum;
Trachea gas insufflation
- MeSH:
Acidosis, Respiratory;
Carbon;
Carbon Dioxide;
Compliance;
Humans;
Hypercapnia*;
Hypoventilation;
Insufflation*;
Laparoscopy*;
Pneumoperitoneum;
Respiration, Artificial
- From:The Korean Journal of Critical Care Medicine
2004;19(1):61-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Despite numerous benefits of laparoscopic procedures, during carbon dioxide-induced pneumoperitoneum, the serious hypercapnia and respiratory acidosis in hypercapnic patients with decreased pulmonary compliance may be developed. Tracheal gas insufflation (TGI) has been shown to be a useful adjunct to controlled mechanical hypoventilation. However, the utility of TGI in hypercapnic management during laparoscopic surgery was not reported yet. We report a case that TGI superimposed on controlled mechanical ventilation corrected hypercapnia induced by carbon dioxide-induced pneumoperitoneum during laparoscopic salphingo-oophorectomy. There was no specific anesthetic problem during operation, patients was discharged uneventfully.
