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Respiratory acidosis and subcutaneous emphysema during laparoscopic cholecystectomy
Authors:Derek J Pearce
Institution:1. P.O. Box 367, N7A 4C6, Goderich, Ontario
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.
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