Cardiovascular collapse caused by carbon dioxide insufflation during one-lung anaesthesia for thoracoscopic dorsal sympathectomy

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dc.contributor.authorHarris, R. J.en
dc.contributor.authorBenveniste, Glen L.en
dc.contributor.authorPfitzner, Johnen
dc.contributor.schoolSchool of Medicine : Anaesthesia and Intensive Careen
dc.date.issued2002en
dc.descriptionPublisher's copy made available with the permission of the publisheren
dc.description.abstractCarbon 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.en
dc.description.statementofresponsibilityRJD Harris, G Benveniste, J Pfitzneren
dc.description.urihttp://www.aaic.net.au/Article.asp?D=2001193en
dc.identifier.citationAnaesthesia and Intensive Care, 2002; 30(1):86-89en
dc.identifier.issn0310-057Xen
dc.identifier.urihttp://hdl.handle.net/2440/5894
dc.language.isoenen
dc.publisherAustralian Society of Anaesthetistsen
dc.rights© Australian Society of Anaesthetistsen
dc.titleCardiovascular collapse caused by carbon dioxide insufflation during one-lung anaesthesia for thoracoscopic dorsal sympathectomyen
dc.typeJournal articleen

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