title: Early detection of CO2 pneumothorax with continuous spirometry during laparoscopic fundoplication.
abstract: In two patients, operated on because of gastroesophageal reflux, carbon dioxide pneumothorax developed during laparoscopic Nissen fundoplication. In both instances, decrease of lung compliance and a change of pressure-volume loop configuration, computed and illustrated with on-line spirometry, led quickly to diagnosis of this complication. We conclude that continuous spirometry is valuable as an early indicator of intraoperative pneumothorax.
authors.affiliation: Department of Anaesthesia, HUCH, Helsinki, Finland.
authors.forename: M T
authors.initials: MT
authors.lastname: Mäkinen
authors.forename: A
authors.initials: A
authors.lastname: Yli-Hankala
authors.forename: M
authors.initials: M
authors.lastname: Kansanaho
mesh_terms: D000328:Adult; D002245:Carbon Dioxide; D005260:Female; D018662:Fundoplication; D006801:Humans; D010535:Laparoscopy; D008170:Lung Compliance; D008297:Male; D011030:Pneumothorax / Q000175:diagnosis*; D013147:Spirometry
chemical_list: D002245:Carbon Dioxide