Severe Hypercapnia Occurred by Anesthetized Child with Treated Bronchitis during an Operation for Bilateral Hutch's Diverticulum of Bladder: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 365-370, 1998.
Article
in Korean
| WPRIM
| ID: wpr-199167
ABSTRACT
A 23-month-old male patient with treated bronchitis underwent a surgery for the repair of bilateral Hutch's diverticulum of bladder under general anesthesia. He treated bronchitis during 2 weeks since 3 weeks before operation. Arriving operating room, he had mild coughing with sputum. During anesthesia, he was well ventilated but endotracheal secretion was profuse. At ABGA of 2 hours after starting anesthesia, severe hypercapnea(PaCO2 190.2 mmHg) and severe acidosis(PH 6.746) were checked. Active treatment was done by suction of endotracheal secretion, hyperventilation, PEEP(5~10 cmH2O), increasing fresh gas flow rate(3.6 L/min --> 7 L/min), and administration of sodium bicarbonate, orciprenaline sulfate and methyl- prednisolone. After 3 hours of treatment, ABGA was normalized and symptoms including wheezing were relieved.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Operating Rooms
/
Metaproterenol
/
Sputum
/
Suction
/
Urinary Bladder
/
Bronchitis
/
Prednisolone
/
Respiratory Sounds
/
Diverticulum
/
Sodium Bicarbonate
Limits:
Child
/
Humans
/
Infant
/
Male
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
1998
Type:
Article
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