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Cerebrovascular reactivity to hypercapnia during sevoflurane or desflurane anesthesia in rats

Sakata K, Kito K, Fukuoka N, Nagase K, Tanabe K, Iida H

BACKGROUND: Hypercapnia causes dilation of cerebral vessels and increases cerebral blood flow, resulting in increased intracranial pressure. Sevoflurane is reported to preserve cerebrovascular carbon dioxide reactivity. However, the contribution of...
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Optimal Ventilatory Strategies in Preterm Infants: Permissive Hypercapnia

Hwang JH

Bronchopulmonary dysplasia associated with lung injury is an important morbidity in extremely low birth weight infants. Lung injury during mechanical ventilation is associated with high tidal volume and high end-inspiratory...
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Management of tracheal compression that's caused by an innominate artery aneurysm: A case report

Jung HJ, Kim JB, Im KS, Kim DJ, Lee JM

An aneurysm of the innominate artery could compress the tracheal lumen, and this requires special care. Intubation without intensive monitoring and antihypertensive agents could aggravate the hypercapnia and completely rupture...
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Clinical Trial of Tracheal Gas Insufflation to Control Hypercapnia Occured during Laparoscopic Surgery: A Case Report

Kang SS

  • KMID: 2228553
  • Korean J Crit Care Med.
  • 2004 Jun;19(1):61-64.
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)...
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Effect of Therapeutic Hypercapnia on Systemic Inflammatory Responses in Hemorrhagic Shock in Rats

Kang KW, Jo YH, Kim K, Lee JH, Rhee JE

  • KMID: 1435358
  • J Korean Soc Traumatol.
  • 2012 Mar;25(1):17-24.
PURPOSE: This study was performed to investigate whether therapeutic hypercapnia could attenuate systemic inflammatory responses in hemorrhagic shock in rats. METHODS: Male Sprague-Dawley rats were mechanically ventilated and underwent pressure-controlled (mean...
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An Anesthetic Experience of Intraoperative Hypercapnia in a Patient with Larsen Syndrome: A case report

Lee SJ, Kim YK, Seong KW, Lim JB, Herr H

Larsen syndrome is a rare congenital connective tissue disorder which is characterized by multiple dislocation of major joints, typical facial appearance, cervical spine narrowing and instability, and respiratory difficulties secondary...
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Severe Hypercapnia during Cardiopulmonary Bypass due to Carbon Dioxide Insufflation: A case report

Moon HS, Lee SK, Kim YM, Kim HS, Shin JW, Choi EJ

Air embolization is a potential danger during open heart surgery. To prevent air embolization in incompletely deaired cardiac chambers, flooding of the surgical fields with carbon dioxide (CO2) is used...
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Hypercapnia does not shorten emergence time from propofol anesthesia: a pilot randomized clinical study

Kwon KH, Bae H, Kang HG, In J

BACKGROUND: The elimination of anesthetic agents is a decisive factor in the emergence from general anesthesia. In this pilot study, we hypothesized that hypercapnia would decrease the emergence time from...
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A Case of iLA Application in a Patient with Refractory Asthma Who Is Nonresponsive to Conventional Mechanical Ventilation: A Case Report

Lee YS, Joo H, Moon JY, Huh JW, Oh YM, Lim CM, Koh Y, Hong SB

Refractory asthma with hypercapnia is a near-fatal disease. Pumpless Extracorporeal Interventional Lung Assist (iLA) may be considered as an alternative therapy for the disease as it removes the carbon dioxide...
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Hypercapnia Due to Unrecognized Recurarization with a High Oxygen Saturation on the Pulse Oximeter

Kim KS, Kim HN, Cho HY, Kim DW

Carbon dioxide narcosis can produce apnea and coma, even though blood oxygen remains high enough to sustain life. We reported an unusual case of hypercapnia due to unrecognized recurarization...
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Decrease in spectral entropy by low tidal volume ventilation-associated severe hypercapnia: a case report

Ann J, Jung SM, Park SJ

Severe hypercapnia can be predicted by a decrease in cerebral electrical activity. The authors describe a sudden decrease in spectral entropy due to severe hypercapnia-induced respiratory acidosis in a patient...
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Pressure-Controlled Ventilation with Permissive Hypercapnia in Severe Adult Respiratory Distress Syndrome

Lee KM, Kim SY, Shin SH, Lee WJ, Choi R

The clinical complex of ARDS includes hypoxemia, hypercapnia, diffuse pulmonary infiltrates on chest radiograph, and depressed pulmonary compliance. Even with improved intensive care, the onset of severe disease with ARDS...
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Effect of mild hypercapnia during the recovery period on the emergence time from total intravenous anesthesia: a randomized controlled trial

Liu L, Chen X, Chen Q, Lu X, Fang L, Ren J, Ming Y, Sun D, Chen P, Wu W, Yu L

Background: Intraoperative hypercapnia reduces the time to emergence from volatile anesthetics, but few clinical studies have explored the effect of hypercapnia on the emergence time from intravenous (IV) anesthesia....
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Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia

Sohn B, Park S, Lee HJ, Jeong JH, Choi SM, Lee SM, Seo JH, Kim YT

Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied...
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Anesthetic Management of Congenital Tracheal Stenosis with Hypercarbia

Cho HS, Cho YS, Kwon YS, Shin B

Congenital tracheal stenosis is a rare life-threatening obstruction in infancy and childhood. Symptoms are ranged from recurrent stridor and wheezing to severe respiratory compromise and hypercarbia. If the patient with...
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Effects of Thoracic Epidural Anesthesia on Hemodynamic Changes Induced by Hypercapnia during Sevoflurane Anesthesia

Yoo JH, Kim SH, Kim MG, Cho A, Choi DH, Kim HJ

OBJECTIVE: Many studies have demonstrated that carbon dioxide has direct depressive effects on the myocardium and dilates the vascular bed. However, it leads to an increase in arterial blood pressure...
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Unidirectional valve malfunction by the breakage or malposition of disc: two cases report

Lee C, Lee KC, Kim HY, Kim MN, Choi EK, Kim JS, Lee WS, Lee MJ, Kim HT

Malfunction of the unidirectional valve in a breathing circuit system may cause hypercapnia from the rebreathing of expired gas, ventilation failure, and barotrauma. Capnography is a useful method for monitoring...
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A unilateral large bronchopleural fistula caused by rupture of bulla with coexisting bilateral giant bullae: A case report

Kim YO, Yeom JH, Lee JM, Byun JW, Shin WJ

  • KMID: 1965852
  • Anesth Pain Med.
  • 2014 Jan;9(1):54-57.
A patient with a large bronchopleural fistula presents several intraoperative challenges for the anesthesiologist, particularly if bullae coexist bilaterally. Ideally, a double lumen tube is inserted while the patient is...
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Brain Injury and Neurodevelopmental Sequelae Following Mechanical Ventilation in Preterm Infants

Chang YP

  • KMID: 2188607
  • J Korean Soc Neonatol.
  • 2004 May;11(1):6-14.
In the care of neonates, complications from the use of mechanical ventilation and other treatment of respiratory problems have important effects on cardiac output, cerebral blood flow, cerebral oxygenation and...
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Changes of Gas Values in the CSF and Blood during Sustained Hypoventilation

Choi KT, Cheun JK

To evaluate the regulation of and in the CSF during respiratory acidosis, the changes in cisternal CSF and arterial plasma acid-base status were asaessed in anesthetized, paralyzed, mechanically ventilated dogs...
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