Co2 Rebreathing Observed While Using a Bag-Mask Resuscitator With Integrated Manometer: A Case Report.
| Autor: | Landino-Delgado MC; From the University of Miami- Jackson Memorial Hospital-Center for Patient Safety, Miami, Florida., Le AP; Miller School of Medicine, University of Miami, Miami, Florida., Stein ALS; From the University of Miami- Jackson Memorial Hospital-Center for Patient Safety, Miami, Florida.; Department of Anesthesiology, University of Miami, Jackson Memorial Hospital, Miami, Florida., Morales JM; Department of Anesthesiology, University of Miami, Jackson Memorial Hospital, Miami, Florida., McNeer RR; From the University of Miami- Jackson Memorial Hospital-Center for Patient Safety, Miami, Florida.; Department of Anesthesiology, University of Miami, Jackson Memorial Hospital, Miami, Florida., Maga JM; From the University of Miami- Jackson Memorial Hospital-Center for Patient Safety, Miami, Florida.; Department of Anesthesiology, University of Miami, Jackson Memorial Hospital, Miami, Florida. |
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| Jazyk: | angličtina |
| Zdroj: | A&A practice [A A Pract] 2022 Dec 21; Vol. 16 (12), pp. e01648. Date of Electronic Publication: 2022 Dec 21 (Print Publication: 2022). |
| DOI: | 10.1213/XAA.0000000000001648 |
| Abstrakt: | Bag-mask resuscitators with integrated manometry help reduce the risk of pulmonary injury during manual ventilation. All such devices must function as intended while preventing carbon dioxide rebreathing, as unintended hypercapnia can be harmful in critically ill patients. We describe a case of carbon dioxide rebreathing in a patient suspected of having a brain injury after blunt trauma who was manually ventilated with a widely available bag-mask resuscitator with integrated manometry after emergent intubation. This case highlights the importance of vigilant monitoring of end-tidal carbon dioxide and appropriate troubleshooting and investigation of unexplained findings to mitigate and prevent adverse patient outcomes. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2022 International Anesthesia Research Society.) |
| Databáze: | MEDLINE |
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