Korean J Anesthesiol.  1998 Aug;35(2):365-370. 10.4097/kjae.1998.35.2.365.

Severe Hypercapnia Occurred by Anesthetized Child with Treated Bronchitis during an Operation for Bilateral Hutch's Diverticulum of Bladder: A case report

• Chung BS
• Lim SA
• Kang PH

• KMID: 2298956
• DOI: http://doi.org/10.4097/kjae.1998.35.2.365

Abstract

A 23-month-old male patient with treated bronchitis underwent a surgery for the repair of bilateral Hutch's diverticulum of bladder under general anesthesia. He treated bronchitis during 2 weeks since 3 weeks before operation. Arriving operating room, he had mild coughing with sputum. During anesthesia, he was well ventilated but endotracheal secretion was profuse. At ABGA of 2 hours after starting anesthesia, severe hypercapnea(PaCO2: 190.2 mmHg) and severe acidosis(PH: 6.746) were checked. Active treatment was done by suction of endotracheal secretion, hyperventilation, PEEP(5~10 cmH2O), increasing fresh gas flow rate(3.6 L/min --> 7 L/min), and administration of sodium bicarbonate, orciprenaline sulfate and methyl- prednisolone. After 3 hours of treatment, ABGA was normalized and symptoms including wheezing were relieved.

Keyword

Complication: hypercapnea; Anesthesia: general, pediatric

MeSH Terms

Anesthesia
Anesthesia, General
Bronchitis*
Child*
Cough
Diverticulum*
Humans
Hypercapnia*
Hyperventilation
Infant
Male
Metaproterenol
Operating Rooms
Prednisolone
Respiratory Sounds
Sodium Bicarbonate
Sputum
Suction
Urinary Bladder*
Metaproterenol
Prednisolone
Sodium Bicarbonate