title: Severe acidosis during laparoscopic repair of pelvic organ prolapse and incontinence.
abstract: The creation and maintenance of a carbon dioxide pneumoperitoneum to allow a laparoscopic approach to surgery for pelvic organ prolapse has been associated with hypercapnea and respiratory acidosis. We present a case report of a 68-year-old patient who developed severe acidosis during a robotic-assisted laparoscopic sacrocolpopexy and discuss a practical approach to surgical and anesthetic decision making.
authors.affiliation: From the *Division of Female Pelvic Medicine and Reconstructive Surgery, and †Department of Anesthesiology, Loyola University Medical Center, Maywood, IL.
authors.forename: Mary P
authors.initials: MP
authors.lastname: Fitzgerald
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Mueller
authors.forename: Steven
authors.initials: S
authors.lastname: Edelstein