Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 何名熙教授 (麻醉及深切治疗学系) |
| 郭志德教授 (麻醉及深切治疗学系) |
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Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/2WOS source URL
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摘要Surgical emphysema is a well-recognised complication of laparoscopic Rawly, but its impact on end-tidal carbon dioxide levels and carbon dioxide elimination is seldom reported and may not be fully appreciated by anaesthetists Four cases are presented where extensive surgical emphysema occurred during laparoscopic surgery The visual display of the anaesthetic record using the software program Monitor showed substantial rises in end-tidal carbon dioxide levels and allowed calculation of the carbon dioxide elimination, which Increased two- to three-fold above normal levels Having a visual record of carbon dioxide changes facilitated the recognition of surgical emphysema in three out of the four cases Strategies such as estimating and tracking changes in carbon dioxide elimination from the minute ventilation and end-tidal carbon dioxide levels may assist in early identification, and palpating for surgical emphysema is recommended during laparoscopy if other causes of Increased carbon dioxide levels are excluded
着者Critchley LAH, Ho AMH
期刊名称Anaesthesia and Intensive Care
出版年份http://aims.cuhk.edu.hk/converis/portal/Publication/2010
月份11
日期1
卷号38
期次6
出版社Australian Society of Anaesthetists
页次1094 - 1100
国际标準期刊号0310-057X
电子国际标準期刊号1448-0http://aims.cuhk.edu.hk/converis/portal/Publication/271
语言英式英语
关键词complications; hypercapnia; laparoscopy; surgical emphysema
Web of Science 学科类别Anesthesiology; ANESTHESIOLOGY; Critical Care Medicine; CRITICAL CARE MEDICINE; General & Internal Medicine
