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KMID : 1155520060010020088
Anesthesia and Pain Medicine
2006 Volume.1 No. 2 p.88 ~ p.91
Subcutaneous Emphysema, Hypercarbia and Increased Peak Inspiratory Airway Pressure during Endoscopic Thyroidectomy -A case report-
Yi Jae-Woo

Lee Bong-Jae
Abstract
Endoscopic thyroidectomy has been increasingly used because it is minimally invasive, provides better cosmetic results as well as less, post-operative pain.However, the technique is associated with complications that, include subcutaneous emphysema, hypercarbia and pneumothorax.We treated a 45 year-old female patient who had subcutaneous emphysema, hypercarbia and increased peak inspiratory airway pressure due to carbon dioxide administered during the endoscopic thyroidectomy.After the above problems occurred, we increased the minute ventilation with 100% O2. The operation was over after about one hundred twenty minutes and ventilation was adequate so that arterial blood gas findings returned to the normal range in the recovery room.The patient was treated conservatively with oxygen and recovered completely at the time of discharge from the Hospital.(Anesth Pain Med 2006; 1: 88¡­91)
KEYWORD
endoscopic thyroidectomy, hypercarbia, peak inspiratory airway pressure, subcutaneous emphysema.
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