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Canadian Journal of Anesthesia, Vol 41, 314-316, Copyright © 1994 by Canadian Anesthesiologists' Society


ARTICLES

Respiratory acidosis and subcutaneous emphysema during laparoscopic cholecystectomy

DJ Pearce

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


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Copyright © 1994 by the Canadian Anesthesiologists' Society.