A case of hyperventilation leading to apnea and desaturation in PACU

Autor:	Asish Subedi, Pankaj Baral, Anjali Poudel, Parineeta Thapa
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	medicine.medical_specialty Adolescent Apnea Case Report Anesthesia General Recovery room Pacu lcsh:RD78.3-87.3 03 medical and health sciences Postoperative Complications 0302 clinical medicine 030202 anesthesiology Anesthesiology Hyperventilation medicine Humans Respiratory system Adverse effect Hypoxia biology business.industry 030208 emergency & critical care medicine Hypoxia (medical) medicine.disease biology.organism_classification Oxygen Anesthesiology and Pain Medicine lcsh:Anesthesiology Respiratory alkalosis Anesthesia Anesthesia Recovery Period Haloperidol Female medicine.symptom business
Zdroj:	BMC Anesthesiology, Vol 19, Iss 1, Pp 1-4 (2019) BMC Anesthesiology
ISSN:	1471-2253
Popis:	Background: Respiratory adverse events are not uncommon in the post-anesthesia care unit (PACU) following general anesthesia. In this regard, hyperventilation leading to apnea and desaturation is a rare entity. Here we have reported a case of a 15-year-old girl who, following an uneventful general anesthesia, developed severe hyperventilation leading to apnea and desaturation in the PACU. Case presentation: The 15-year-old girl underwent cortical mastoidectomy under general anesthesia. After a smooth anesthesia and an uneventful early recovery, she developed hyperventilation after about 15 minutes in the PACU. The symptom was severe enough to lead to apnea, desaturation and severe respiratory alkalosis. She required bag and mask ventilation and the symptoms resolved only transiently with propofol sedation. Finally, she responded to intravenous haloperidol and did not have any further episode after receiving haloperidol. Conclusion: Hyperventilation after a smooth recovery from anesthesia is not a common presentation. In this article we have tried to discuss the possible cause of such symptom in our patient and how we successfully managed this case. We have also proposed an algorithmic approach to diagnose and manage such cases in the PACU.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::95774b4f2bc38b3068c03d27eb56bfbf http://link.springer.com/article/10.1186/s12871-019-0827-2 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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