Korean J Crit Care Med.  2004 Jun;19(1):61-64.

Clinical Trial of Tracheal Gas Insufflation to Control Hypercapnia Occured during Laparoscopic Surgery: A Case Report

• Kang SS

Abstract

Despite numerous benefits of laparoscopic procedures, during carbon dioxide-induced pneumoperitoneum, the serious hypercapnia and respiratory acidosis in hypercapnic patients with decreased pulmonary compliance may be developed. Tracheal gas insufflation (TGI) has been shown to be a useful adjunct to controlled mechanical hypoventilation. However, the utility of TGI in hypercapnic management during laparoscopic surgery was not reported yet. We report a case that TGI superimposed on controlled mechanical ventilation corrected hypercapnia induced by carbon dioxide-induced pneumoperitoneum during laparoscopic salphingo-oophorectomy. There was no specific anesthetic problem during operation, patients was discharged uneventfully.

Keyword

Carbon dioxide; Hypercapnia; Laparoscopy; Pneumoperitoneum; Trachea gas insufflation

MeSH Terms

Acidosis, Respiratory
Carbon
Carbon Dioxide
Compliance
Humans
Hypercapnia*
Hypoventilation
Insufflation*
Laparoscopy*
Pneumoperitoneum
Respiration, Artificial
Carbon
Carbon Dioxide