Respiratory acidosis and subcutaneous emphysema during laparoscopic cholecystectomy.
A case is presented of a healthy 69-year-old woman who underwent elective laparoscopic cholecystectomy under general anaesthesia. As surgery proceeded she developed hypercapnia (arterial blood PaCO2 = 100 mmHg) and a related respiratory acidosis (arterial blood pH 7.07). The cause was attributed to subcutaneous insufflation and absorption of CO2, directly related to the surgical pneumoperitoneum.
Pearce
D J
DJ
D000142:Acidosis, Respiratory / Q000209:etiology*; D000368:Aged; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D013352:Subcutaneous Emphysema / Q000209:etiology*