An Acute Postoperative Intractable Hyperventilation after an Endoscopic Third Ventriculostomy
Journal of Korean Neurosurgical Society
;
: 173-176, 2012.
Article
in English
| WPRIM
| ID: wpr-203805
ABSTRACT
This report describes a rare case of postoperative hyperventilation attack after an endoscopic third ventriculostomy in a 46-year-old woman. About 60 min after the termination of the operation, an intractable hyperventilation started with respiratory rate of 65 breaths/min and EtCO2, 16.3 mm Hg. Sedation with benzodiazepine, thiopental sodium, fentanyl, and propofol/remifentanil infusion was tried under a rebreathing mask at a 4 L/min of oxygen. With aggressive sedative challenges, ventilation pattern was gradually returned to normal during the 22 hrs of time after the surgery. A central neurogenic hyperventilation was suspected due to the stimulating central respiratory center by cold acidic irrigation solution during the neuroendoscopic procedure.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Respiratory Center
/
Thiopental
/
Ventilation
/
Benzodiazepines
/
Ventriculostomy
/
Fentanyl
/
Cold Temperature
/
Respiratory Rate
/
Hyperventilation
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2012
Type:
Article
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