Korean J Anesthesiol.
2009 Sep;57(3):403-406. 10.4097/kjae.2009.57.3.403.
Hypercapnic coma at the postanesthesia care unit: A case report
- Affiliations
-
- 1Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea. spss@snuh.org
- KMID: 2236518
- DOI: http://doi.org/10.4097/kjae.2009.57.3.403
Abstract
- A 59-year-old woman underwent explorative laparotomy under general anesthesia for mechanical ileus. The patient had rectal cancer with multiple metastasis, and was receiving 1.5-2 mg of intravenous morphine per hour due to severe abdominal pain. After about 3 hours of general anesthesia, the patient was extubated and transferred to postanesthesia care unit. The patient was supplied with 6 L/min of oxygen by facial mask. In 30 minutes, the patient showed no response to verbal order and pain stimulus with sluggish eye reflex, although pulse-oximeter showed 98-99%. After emergent intubation, arterial blood gas was sampled, and the result showed severe acidosis with hypercapnia. The patient was transferred to intensive care unit, and after 1 hour of mechanical ventilation the patient became conscious then fully recovered without further complication.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Hypoventilation and hypokalemia in a patient with poor oral intake in the postanesthesia care unit: A case report
- Successful noninvasive ventilation in a severely acidotic and hypercapnic comatose COVID-19 patient with multiple comorbidities: a case report
- Superficial Keratopathy of Patients in Intensive Care Unit
- Development of a Performance Appraisal Tool for Postoperative Anesthesia Care Unit Nurses
- Characteristics and outcomes of patients with chronic obstructive pulmonary disease admitted to the intensive care unit due to acute hypercapnic respiratory failure
