Archives of Anesthesiology and Critical Care 2017. 3(3):363-364.

The effects of high Fresh Gas Flow in treatment of Pediatric Severe Hypercapnia During General Anesthesia A Case Report
Alireza Ahmadi, Abbas Ahmadi

Abstract


  Hypercapnia is a frequent event but severe hypercapnia is a harmful complication of general anesthesia. A 6 month old Iranian baby boy who had an appendicitis under general anesthesia exhibited severe hypercapnia during surgery. Arterial blood gas revealed a PCO2 of 95mmHg. Troubleshooting immediately were taken but the level of CO2 did not decline. Under that situation by elevating fresh gas flow to twice or three times the hypercapnia decreased and by adjusting FGF we could reach the best end tidal PCO2 and paco2.


Keywords


hypercapnia; high fresh gas flow; general anesthesiology

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References


van Kaam AH, De Jaegere AP, Rimensberger PC, Neovent Study Group. Incidence of hypo- and hyper-capnia in a cross-sectional European cohort of ventilated newborn infants. Arch Dis Child Fetal Neonatal Ed. 2013; 98:F323-6.

Pray-Roberts C, Smith WDA, Nunn JF. Accident severe hypercapnia during anesthesia-A case report and review of some physiological effect. Brit J Anaesth. 1967; 39:257-65.

Karlin A, Umeh U, Girshin M. Hypercapnia and tachycardia in a 2-year old. Paediatr Anaesth. 2009; 19(6):629-30.

Hickling KG, Henderson SJ, Jackson R. Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med. 1990; 16(6):372–7.

Jankov RP, Tanswell AK. Hypercapnia and the neonate. Acta Paediatr. 2008; 97(11):1502-9.

Urwin L, Murphy R, Robertson C, Pollok A. A case of extreme hypercapnia: implications for the prehospital and accident and emergency department management of acutely dyspnoeic patients. Emerg Med J. 2004; 21(1):119-20.

Potkin RT, Swenson ER. Resuscitation from severe acute hypercapnia. Determinants of tolerance and survival. Chest. 1992;102(6):1742-5.

Wei K, Xu H, Liao W, Zhang Ch, Yao W. A newborn tolerated severe hypercapnia during general anesthesia: a case report. J Med Case Rep. 2015; 9: 196.


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