J Acute Care Surg.  2018 Apr;8(1):25-29. 10.17479/jacs.2018.8.1.25.

Carbon Dioxide Retention after Non-Cardiac Surgery in a Patient with Cor Pulmonale

• Oh TK
• Cho H
• Cho DS

• KMID: 2434952
• DOI: http://doi.org/10.17479/jacs.2018.8.1.25

Abstract

Regional anesthesia is generally recommended over general anesthesia for non-cardiac surgeries in patients with severe pulmonary hypertension (PH) caused by pulmonary disease. However, pre-, and intra-, postoperative management are critical for patients with severe PH even when regional anesthesia is performed. This is the first reported case of carbon dioxide retention and administration of the appropriate treatment during non-cardiac surgery performed under spinal/epidural anesthesia and analgesia in a patient diagnosed with chronic cor pulmonale accompanied by severe PH.

Keyword

Anesthesia; Critical care; Opioids

MeSH Terms

Analgesics, Opioid
Anesthesia
Anesthesia and Analgesia
Anesthesia, Conduction
Anesthesia, General
Carbon Dioxide*
Carbon*
Critical Care
Humans
Hydrogen-Ion Concentration
Hypertension, Pulmonary
Lung Diseases
Pulmonary Heart Disease*
Analgesics, Opioid
Carbon
Carbon Dioxide