Korean J Anesthesiol.
2005 Sep;49(3):425-428. 10.4097/kjae.2005.49.3.425.
Anesthetic Management during Laparoscopic Excision of an Urachal Cyst in a Pediatric Patient: A case report
- Affiliations
-
- 1Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine, Seoul, Korea. kyoungmlee@kuh.ac.kr
- KMID: 2299148
- DOI: http://doi.org/10.4097/kjae.2005.49.3.425
Abstract
- A 14-month-old female patient was admitted for the laparoscopic excision of a complicated urachal cyst. General anesthesia was induced with thiopental and rocuronium and maintained with sevoflurane and the intermittent administration of vecuronium. During the insufflation of CO2 her intra-abdominal pressure was maintained below 12 cmH2O to avoid excessive hypercarbia. Thirty minutes after CO2 insufflation initiation, end tidal CO2 increased to 74 mmHg at a peak inspiratory airway pressure of 24 cmH2O. Laparoscopic excision of the urachal cyst was performed within 2 hours without a further change in end tidal CO2, blood pressure, heart rate, or O2 saturation. Before extubation, O2 saturation by pulse oxymetry was 99% and end tidal CO2 was 45-50 mmHg. The patient was discharged without any problem 5 days after the operation. We report on this clinical experience and include a brief review of the literature.
