Sudden Respiratory Deteroitation During ERCP under General Anesthesia
Abstract
Pulmonary complications during endoscopic retrograde cholangiopancreatography (ERCP) performed under general anesthesia are uncommon but may become life-threatening, particularly following prone positioning. We report a case of intraoperative pulmonary edema that presented as an abrupt rise in end-tidal carbon dioxide and reduced bilateral air entry shortly after proning for ERCP. Early recognition guided by capnography and clinical examination, followed by prompt ventilatory and pharmacological management, resulted in a favorable outcome. This case highlights the importance of vigilant respiratory monitoring and early intervention during prone endoscopic procedures, especially in patients with compromised cardiac function.
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[3] Feix B, Sturgess J. Anaesthesia in the prone position. BJA Educ. 2014;14(6):291–297.
[4] Duggan M, Kavanagh BP. Pulmonary atelectasis: a pathogenic perioperative entity. Anesthesiology. 2005; 102(4):838-54.
[5] Ware LB, Matthay MA. Acute pulmonary edema. N Engl J Med. 2005;353(26):2788–2796.
[6] Mills GH. Respiratory complications of anaesthesia. Anaesthesia. 2018;73(Suppl 1):25–33.
[2] Lumb AB, White A. Breathing in the prone position in health and disease. BJA Educ. 2021;21(8):280–283.
[3] Feix B, Sturgess J. Anaesthesia in the prone position. BJA Educ. 2014;14(6):291–297.
[4] Duggan M, Kavanagh BP. Pulmonary atelectasis: a pathogenic perioperative entity. Anesthesiology. 2005; 102(4):838-54.
[5] Ware LB, Matthay MA. Acute pulmonary edema. N Engl J Med. 2005;353(26):2788–2796.
[6] Mills GH. Respiratory complications of anaesthesia. Anaesthesia. 2018;73(Suppl 1):25–33.
| Files | ||
| Issue | Article in Press |
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| Section | Case Report(s) | |
| Keywords | ||
| ERCP Pulmonary edema Prone position Hypercapnia General anesthesia | ||
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How to Cite
1.
Das S, Borikar S. Sudden Respiratory Deteroitation During ERCP under General Anesthesia. Arch Anesth & Crit Care. 2026;.
