1.Carbon Dioxide Insufflation in Endoscopic Submucosal Dissection: Is It an Urgent Need?.
Chang Seok BANG ; Gwang Ho BAIK
Clinical Endoscopy 2017;50(5):407-409
No abstract available.
Carbon Dioxide*
;
Carbon*
;
Insufflation*
2.Bradycardia during laparoscopic surgery due to high flow rate of CO2 insufflation.
Ki Tae JUNG ; Sang Hun KIM ; Jae Wook KIM ; Keum Young SO
Korean Journal of Anesthesiology 2013;65(3):276-277
No abstract available.
Bradycardia
;
Insufflation
;
Laparoscopy
3.Postoperative high-flow nasal insufflation for obstructive sleep apnea: a potential therapeutic alternative or prudence needed?
Montserrat DIAZ-ABAD ; Paschalis STEIROPOULOS ; Antonio M ESQUINAS
Korean Journal of Anesthesiology 2019;72(6):622-623
No abstract available.
Insufflation
;
Sleep Apnea, Obstructive
4.Tracheal laceration detected by high end-tidal CO2 during endoscopic thyroidectomy.
Han Suk PARK ; Sang Ik LEE ; Hye Won SHIN ; Sung Uk CHOI ; Ji Yong PARK ; Hye Won LEE ; Hae Ja LIM ; Suk Min YOON ; Seong Ho CHANG
Korean Journal of Anesthesiology 2009;56(6):703-705
Endoscopic thyroidectomy is frequently used for cosmetic reasons, such as reducing cervical scarring. Subcutaneous gas insufflation with CO2 is needed to maintain the surgical space, and optimal surgical techniques and careful attention are required when conducting this procedure due to the limited space available for the endoscopic instruments. We report here a case of a tracheal laceration with a tear in the cuff of a reinforced tube, which was detected by an abrupt increase in end-tidal CO2 to 90 mmHg. Reintubation was achieved using a tube exchanger and the patient was effectively ventilated without complications.
Cicatrix
;
Cosmetics
;
Humans
;
Insufflation
;
Lacerations
;
Thyroidectomy
5.Retroperitoneal Teratoma: A Report of A Case.
Korean Journal of Urology 1962;3(1):77-80
A case of retroperitoneal teratoma, found in a ten month old female infant was reported. Twenty four hours after the direct retroperitoneal air insufflation, a retrograde pyelography was performed using B.B. 16F. cytoscope. These two studies were essential to make preoperative diagnosis. Review of retroperitoneal tumor was also added.
Diagnosis
;
Female
;
Humans
;
Infant
;
Insufflation
;
Teratoma*
;
Urography
6.Reduction of Intussusception by Air Insufflation in Children: Recent Three-year Experience.
Gwy Suk SEO ; Sang Hoon BAE ; In Jae LEE ; Kyung Hwan LEE ; Ku Sub YUN ; Hyo Keun LIM
Journal of the Korean Radiological Society 1994;30(1):181-185
PURPOSE: This study was conducted to evaluate success and perforation rates of pneumatic reduction and to find the predictors of reduction failure. METHODS AND MATERIALS: We reviewed 224 cases of pediatric intussusception diagnosed by air-enema between July, 1989 and June, 1992. The mean age was 9.8 months(range, 1 month to 3 years). Logistic regression analysis was used to find predictors of reduction failure. RESULTS: Successful reduction was achieved in 197 cases(87.9% of success rate). Bowel perforation occurred in two cases(0.9% of perforation rate). There were two statistically significant predictors of failure;(1) ileoileocolic intussusception(p<.001), (2) long duration of symptom(p<.001). Surgery was performed in 26 cases (11.6%), of which seven required bowel resection. CONCLUSION: Pneumatic reduction is a useful means in the management of pediatric intussusception with a high success rate and no mortality.
Child*
;
Humans
;
Insufflation*
;
Intussusception*
;
Logistic Models
;
Mortality
7.Can water insufflation and carbon dioxide overcome the difficulties of colonoscope insertion?.
Choong Kyun NOH ; Kee Myung LEE
Intestinal Research 2018;16(2):166-167
No abstract available.
Carbon Dioxide*
;
Carbon*
;
Colonoscopes*
;
Insufflation*
;
Water*
8.Is CO2 Gas Insufflation in Endoscopic Thyroidectomy Safe or Not?: A Prospective Study through the Continuous Measurement of the End-tidal CO2 Pressure.
Won Beom CHOI ; Yong Lai PARK ; Jun Ho CHOE ; Hung Dai KIM ; Won Gil BAE
Journal of the Korean Surgical Society 2007;73(4):290-293
PURPOSE: Endoscopic thyroidectomy has recently been widely used in clinical practice. The operative method can be classified into CO2gas insufflation and the gasless technique. This study assessed the safety of low pressure CO2gas insufflation (up to 6 mmHg) by performing continuous measurement of the end-tidal CO2 (ETCO2) pressure. METHODS: From March 2003 to October 2006, 95 patients (90 hemithyroidectomies and 5 total thyroidectomies) underwent endoscopic thyroidectomy. The low pressure CO2gas insufflation technique was applied in all cases. The ETCO2 pressure of the patients was measured by capnometry at the time of a pre-gas insufflation status (0 minutes) and at the time of post-CO2gas insufflation (30 minutes) and then it was measured every 30 minutes with also performing capnograms. We analyzed the ETCO2 pressure at the time of the pre-CO2gas insufflation status (0 min) and we compared this with that of each status by using paired T-test. RESULTS: For all 95 cases, the mean patient age was 36.2+/-9.1 (range: 21~57 years), the mean tumor size was 1.7+/-1.1 (range: 0.1~4.5 cm) and the mean operative time was 135.0+/-46.1 (range: 50~340 min). The mean ETCO2 pressure (mmHg) was 33.0+/-3.9 at the time of pre-CO2gas insufflation status (0 min); the mean ETCO2 pressure was 31.1+/-3.7 at 30 min (n=95), 33.5+/-3.7 at 60 min (n=95), 35.2+/-3.6 at 90 min (n=95), 34.9+/-3.7 at 120 min (n=90), 34.6+/-3.8 at 150 min (n=70), 34.1+/-3.4 at 180 min (n=40), 34.3+/-5.2 at 210 min (n=15) and 34.0+/-4.2 at 240 min (n=9). There was a significant difference the early post-CO2gas insufflation status (P<0.05 at 30 min, 90 min, 120 min), but there was no significant difference in the late post-CO2gas insufflation status (P>0.05; at 60 min, 150 min, 180 min, 210 min, 240 min). At each time point, the ETCO2 pressures were all within the normal range. CONCLUSION: We successfully performed endoscopic thyroidectomy with using the low pressure CO2gas insufflation technique and there were no significant complications. We think that performing endoscopic thyroidectomy with using the low pressure CO2gas insufflation technique is a safe procedure.
Humans
;
Insufflation*
;
Operative Time
;
Prospective Studies*
;
Reference Values
;
Thyroidectomy*
9.Changes in Respiratory Compliance and Peak Airway Pressure during a Laparoscopic Cholecystectomy in the Elderly.
Guie Yong LEE ; Dong Yeon KIM ; Chi Hyo KIM
Korean Journal of Anesthesiology 2001;41(1):28-32
BACKGROUND: The advantage of a laparoscopic cholecystectomy has led to a trend toward performing it in the elderly. It is well recognised that this can cause changes in respiratory mechanics. However, few studies have measured the effects of abdominal insufflation with CO2 in the elderly. This study was done to evaluate changes in respiratory compliance and peak airway pressure during a laparoscopic cholecystectomy. METHODS: Thirty patients undergoing a laparoscopic cholecystectomy were divided into two groups; aged 65 years or more (elderly group) and under 60 years (control group). A pneumoperitoneum up to an intraabdominal pressure of 12 mmHg was created with CO2 insufflation. Respiratory and peak airway pressure were measured with a continuous spirometry. Measurements were obtained pre-insufflation, just after CO2 insufflation, at 15, 30, 45 and 60 minutes and after abdominal deflation. RESULTS: In both groups, respiratory compliance decreased significantly (P < 0.05) and equally by about 40% after CO2 insufflation. The decrement continued during the pneumoperitoneum, the changes were not significant between the groups. Each group showed an equal improvement immediately after abdominal deflation. No differences between the peak airway pressure during a laparoscopic cholecystectomy was seen in either group. CONCLUSIONS: We have demonstrated that during a laparoscopic cholecystectomy in the elderly the respiratory compliance decreased and peak airway pressure significantly increased as in the control group.
Aged*
;
Cholecystectomy, Laparoscopic*
;
Compliance*
;
Humans
;
Insufflation
;
Pneumoperitoneum
;
Respiratory Mechanics
;
Spirometry
10.Anesthetic course and complications that were encountered during endoscopic thyroidectomy: A case report.
Su Nam LEE ; Ji Heui LEE ; Eun Ju LEE ; Ji Yeon LEE ; Jong Il KIM ; You Bin SON
Korean Journal of Anesthesiology 2012;63(4):363-367
Endoscopic thyroidectomy is gaining popularity, but it can increase the risk of certain complications. Carbon dioxide insufflation in the neck may cause adverse effects on hemodynamic and ventilatory aspects. We report the anesthetic course and complications that were encountered during endoscopic thyroidectomy. Although the surgery was successful, the patient developed signs of hypercarbia, subcutaneous emphysema and pneumothorax.
Carbon Dioxide
;
Hemodynamics
;
Humans
;
Insufflation
;
Neck
;
Pneumothorax
;
Subcutaneous Emphysema
;
Thyroidectomy