Anesthetic Management during Laparoscopic Excision of an Urachal Cyst in a Pediatric Patient: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 425-428, 2005.
Article
in Korean
| WPRIM
| ID: wpr-205114
ABSTRACT
A 14-month-old female patient was admitted for the laparoscopic excision of a complicated urachal cyst. General anesthesia was induced with thiopental and rocuronium and maintained with sevoflurane and the intermittent administration of vecuronium. During the insufflation of CO2 her intra-abdominal pressure was maintained below 12 cmH2O to avoid excessive hypercarbia. Thirty minutes after CO2 insufflation initiation, end tidal CO2 increased to 74 mmHg at a peak inspiratory airway pressure of 24 cmH2O. Laparoscopic excision of the urachal cyst was performed within 2 hours without a further change in end tidal CO2, blood pressure, heart rate, or O2 saturation. Before extubation, O2 saturation by pulse oxymetry was 99% and end tidal CO2 was 45-50 mmHg. The patient was discharged without any problem 5 days after the operation. We report on this clinical experience and include a brief review of the literature.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thiopental
/
Urachal Cyst
/
Blood Pressure
/
Vecuronium Bromide
/
Insufflation
/
Heart Rate
/
Anesthesia, General
Limits:
Female
/
Humans
/
Infant
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2005
Type:
Article
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