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Respiratory acidosis and subcutaneous emphysema during laparoscopic cholecystectomy

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Abstract

A case is presented of a healthy 69-yr-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.

Résumé

Une patiente bien portante de 69 ans est opérée en chirurgie réglée pour une cholécystectomie par laparoscopie. Pendant l’intervention, elle présente de l’hypercapnie (PaCO2 = 100 mmHg) associée à une acidose respiratoire (pHa = 7,07). L’étiologie de cet incident est attribuable à une insufflation percutanée avec absorption de CO2 causée par un pneumopéritoine d’origine chirurgicale.

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Author information

Correspondence to Derek J. Pearce.

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Pearce, D.J. Respiratory acidosis and subcutaneous emphysema during laparoscopic cholecystectomy. Can J Anaesth 41, 314 (1994). https://doi.org/10.1007/BF03009911

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Key words

  • carbon dioxide: absorption, hypercarbia
  • complications: hypercapnia, emphysema
  • surgery: laparoscopy