Carbon Dioxide Retention after Non-Cardiac Surgery in a Patient with Cor Pulmonale.
10.17479/jacs.2018.8.1.25
- Author:
Tak Kyu OH
1
;
Hyeyeon CHO
;
Dae Soon CHO
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
Anesthesia;
Critical care;
Opioids
- MeSH:
Analgesics, Opioid;
Anesthesia;
Anesthesia and Analgesia;
Anesthesia, Conduction;
Anesthesia, General;
Carbon Dioxide*;
Carbon*;
Critical Care;
Humans;
Hydrogen-Ion Concentration;
Hypertension, Pulmonary;
Lung Diseases;
Pulmonary Heart Disease*
- From:
Journal of Acute Care Surgery
2018;8(1):25-29
- CountryRepublic of Korea
- Language:English
-
Abstract:
Regional anesthesia is generally recommended over general anesthesia for non-cardiac surgeries in patients with severe pulmonary hypertension (PH) caused by pulmonary disease. However, pre-, and intra-, postoperative management are critical for patients with severe PH even when regional anesthesia is performed. This is the first reported case of carbon dioxide retention and administration of the appropriate treatment during non-cardiac surgery performed under spinal/epidural anesthesia and analgesia in a patient diagnosed with chronic cor pulmonale accompanied by severe PH.
