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
em Ko
| WPRIM
| ID: wpr-199167
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Salas Cirúrgicas
/
Metaproterenol
/
Escarro
/
Sucção
/
Bexiga Urinária
/
Bronquite
/
Prednisolona
/
Sons Respiratórios
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Divertículo
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Bicarbonato de Sódio
Limite:
Child
/
Humans
/
Infant
/
Male
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
1998
Tipo de documento:
Article