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Type: Journal article
Title: Cardiovascular collapse caused by carbon dioxide insufflation during one-lung anaesthesia for thoracoscopic dorsal sympathectomy
Author: Harris, R. J.
Benveniste, Glen L.
Pfitzner, John
Citation: Anaesthesia and Intensive Care, 2002; 30(1):86-89
Publisher: Australian Society of Anaesthetists
Issue Date: 2002
ISSN: 0310-057X
School/Discipline: School of Medicine : Anaesthesia and Intensive Care
Statement of
RJD Harris, G Benveniste, J Pfitzner
Abstract: Carbon dioxide insufflation into the pleural space during one-lung anaesthesia for thoracoscopic surgery is used in some centres to improve surgical access, even though this practice has been associated with well-described cardiovascular compromise. The present report is of a 35-year-old woman undergoing thoracoscopic left dorsal sympathectomy for hyperhidrosis. During one-lung anaesthesia the insufflation of carbon dioxide into the non-ventilated hemithorax for approximately 60 seconds, using a pressure-limited gas inflow, was accompanied by profound bradycardia and hypotension that resolved promptly with the release of the gas. Possible mechanisms for the cardiovascular collapse are discussed, and the role of carbon dioxide insufflation as a means of expediting lung collapse for procedures performed using single-lung ventilation is questioned.
Description: Publisher's copy made available with the permission of the publisher
Rights: © Australian Society of Anaesthetists
RMID: 0020020151
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Appears in Collections:Anaesthesia and Intensive Care publications

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