Korean J Anesthesiol.  2002 Nov;43(5):678-683. 10.4097/kjae.2002.43.5.678.

Anesthetic Experience of a Patient with Chronic Hypoventilation Syndrome: A case report

• Han SM
• Kwak HJ
• Lee MA

• KMID: 2091743
• DOI: http://doi.org/10.4097/kjae.2002.43.5.678

Abstract

Alveolar hypoventilation exists by definition when arterial PaCO2 increases above the normal range of 37 to 42 mmHg, but in clinically important hypoventilation syndromes PaCO2 is generally in the range of 50 to 80 mmHg. The management of chronic hypoventilation must be individualized to the patient's particular disorder, circumstances and need. This is a case report of anesthetic management of a 63-year-old woman with central alveolar hypoventilation (CAH) secondary to cerebral infarction. For hip surgery epidural anesthesia with 0.5% bupivacaine was performed and doxapram was applied to maintain respiratory drive. The anesthetic experience with a brief review of literature is reported.

Keyword

Alveolar hypoventilation; central alveolar hypoventilation; doxapram

MeSH Terms

Anesthesia, Epidural
Bupivacaine
Cerebral Infarction
Doxapram
Female
Hip
Humans
Hypoventilation*
Middle Aged
Reference Values
Sleep Apnea, Central
Bupivacaine
Doxapram