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Clinical Trial of Tracheal Gas Insufflation to Control Hypercapnia Occured during Laparoscopic Surgery: A Case Report
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Seong Sik Kang
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Korean J Crit Care Med. 2004;19(1):61-64.
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 Abstract
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- 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.
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KSCCM
