소아에서 복강경하 요막관 낭종 절제술의 마취 관리

• Published in: Korean journal of anesthesiology Vol. 49; no. 3; pp. 425 - 428
• Main Authors: 유장희, Jang Hee Lyu, 이경민, Kyoung Min Lee, 이승윤, Seung Yun Lee, 이준걸, Jun Geol Lee
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회 30.09.2005
• Subjects: hypercarbia; intra-abdominal pressure; Laparoscopic excision; urachal cyst; 마취과학
• ISSN: 2005-6419; 2005-7563

A 14-month-old female patient was admitted for the laparoscopic excision of a complicated urachal cyst. General anesthesia was induced with thiopental and rocuronium and maintained with sevoflurane and the intermittent administration of vecuronium. During the insufflation of CO2 her intra-abdominal pressure was maintained below 12 cmH2O to avoid excessive hypercarbia. Thirty minutes after CO2 insufflation initiation, end tidal CO2 increased to 74 mmHg at a peak inspiratory airway pressure of 24 cmH2O. Laparoscopic excision of the urachal cyst was performed within 2 hours without a further change in end tidal CO2, blood pressure, heart rate, or O2 saturation. Before extubation, O2 saturation by pulse oxymetry was 99% and end tidal CO2 was 45-50 mmHg. The patient was discharged without any problem 5 days after the operation. We report on this clinical experience and include a brief review of the literature. KCI Citation Count: 1