An Acute Postoperative Intractable Hyperventilation after an Endoscopic Third Ventriculostomy
Journal of Korean Neurosurgical Society
;
: 173-176, 2012.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Oxigênio
/
Centro Respiratório
/
Tiopental
/
Ventilação
/
Benzodiazepinas
/
Ventriculostomia
/
Fentanila
/
Temperatura Baixa
/
Taxa Respiratória
/
Hiperventilação
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2012
Tipo de documento:
Artigo
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