Korean J Anesthesiol.  2009 Jan;56(1):83-86. 10.4097/kjae.2009.56.1.83.

Early detection of ruptured bulla by capnography during off pump coronary artery bypass grafting surgery: A case report

• Kim SH
• Yoon TG
• Kang JE
• Oh CS
• Kim DK
• Kim TY

• KMID: 2031867
• DOI: http://doi.org/10.4097/kjae.2009.56.1.83

Abstract

Capnography is monitoring of concentration or partial pressure of CO2 in respiratory gases. It provides information about CO2 production, pulmonary perfusion, alveolar ventilation, respiratory patterns and elimination of CO2 from the anesthesia circuit and ventilator. Thus it gives us a rapid and reliable method to detect life threatening conditions such as malposition of tracheal tube, ventilatory failure, circulatory failure and defective breathing circuits. Authors experienced that change of capnogram during off pump coronary artery bypass grafting surgery helped early detecting ruptured bulla and prevented intraopertive or postoperative pneumothorax.

Keyword

Capnography; Off pump coronary artery bypass grafting surgery; Pneumothorax; Ruptured bulla

MeSH Terms

Anesthesia
Blister
Capnography
Coronary Artery Bypass, Off-Pump
Gases
Partial Pressure
Perfusion
Pneumothorax
Respiration
Shock
Transplants
Ventilation
Ventilators, Mechanical
Gases