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Anales Médicos de la Asociación Médica del Centro Médico ABC

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Revista de la Asociación Médica del Centro Médico ABC
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2015, Number 1

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An Med Asoc Med Hosp ABC 2015; 60 (1)

Capnothorax during laparascopic cholecystectomy and ventral plasty

González EAC, Vázquez OJ, Arriola CJ, Briones CG
Full text How to cite this article

Language: Spanish
References: 5
Page: 41-44
PDF size: 256.73 Kb.


Key words:

Capnothorax, laparoscopic surgery, ultrasound.

ABSTRACT

Capnothorax is a complication that occurs with low frequency in laparoscopic surgery. It is important to consider this entity to prevent unnecessary actions that could be harmful to the patient and his evolution. Capnothorax is characterized by a rise in the end-tidal carbon dioxide accompanied sometimes by a decrease in oxygen saturation; pulmonary pressures and hemodynamics remain unchanged. A helpful method used currently to support the diagnosis is ultrasound. The treatment is based on patient monitoring since its resolution can be spontaneous depending on the severity of the capnothorax. The aim of this paper is to present a patient undergoing a laparoscopic procedure with the occurrence of a transanesthetic capnothorax.


REFERENCES

  1. Dong-Min J, Hyung-Seok S, Gyu-Sam H. Rapid identification of spontaneously resolving capnothorax using bedside m-mode ultrasonography during laparoscopic surgery: the “lung point sign”. Korean J Anesthesiol. 2013; 65 (6): 578-582.

  2. Ghodki SP, Thombre KS. Capnothorax during laparoscopic fundoplication: diagnosis and anesthesic management. J Acad Med Sci. 2012; 2 (3): 118-120.

  3. Hudcova J, Schumann R. Arterial to end-tidal CO2 gradient reversal during laparoscopic pheochromocytoma resection. Can J Anesth. 2006; 53 (4): 409-412.

  4. Msezane LP, Zorn KC, Gofrit ON, Schade GR, Shalhav AL. Conservative management of a large capnothorax following laparoscopic renal surgery. J Endourol. 2007; 21 (12): 1445-1447.

  5. Manchanda G, Bhalotra AR, Bhadoria P, Jain A, Goyal P, Arya M. Capnothorax during laparoscopic cholecystectomy. Indian Journal of Anaesthesia. 2007; 51 (9): 231-233.




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C?MO CITAR (Vancouver)

An Med Asoc Med Hosp ABC. 2015;60