Anesth Pain Med.  2006 Oct;1(2):88-91.

Subcutaneous Emphysema, Hypercarbia and Increased Peak Inspiratory Airway Pressure during Endoscopic Thyroidectomy : A case report

• Yi JW
• Lee BJ

Abstract

Endoscopic thyroidectomy has been increasingly used because it is minimally invasive, provides better cosmetic results as well as less, post-operative pain. However, the technique is associated with complications that, include subcutaneous emphysema, hypercarbia and pneumothorax. We treated a 45 year-old female patient who had subcutaneous emphysema, hypercarbia and increased peak inspiratory airway pressure due to carbon dioxide administered during the endoscopic thyroidectomy. After the above problems occurred, we increased the minute ventilation with 100% O2. The operation was over after about one hundred twenty minutes and ventilation was adequate so that arterial blood gas findings returned to the normal range in the recovery room. The patient was treated conservatively with oxygen and recovered completely at the time of discharge from the Hospital

Keyword

endoscopic thyroidectomy; hypercarbia; peak inspiratory airway pressure; subcutaneous emphysema

MeSH Terms

Carbon Dioxide
Female
Humans
Middle Aged
Oxygen
Pneumothorax
Recovery Room
Reference Values
Subcutaneous Emphysema*
Thyroidectomy*
Ventilation
Carbon Dioxide
Oxygen