Title |
An Acute Postoperative Intractable Hyperventilation after an Endoscopic Third Ventriculostomy
|
---|---|
Published in |
Journal of Korean Neurosurgical Society, March 2012
|
DOI | 10.3340/jkns.2012.51.3.173 |
Pubmed ID | |
Authors |
Hae Mi Lee, Kyung Bae Shin, Seong Ho Kim, Dae Lim Jee |
Abstract |
This report describes a rare case of postoperative hyperventilation attack after an endoscopic third ventriculostomy in a 46-year-old woman. About 60 min after the termination of the operation, an intractable hyperventilation started with respiratory rate of 65 breaths/min and EtCO(2), 16.3 mm Hg. Sedation with benzodiazepine, thiopental sodium, fentanyl, and propofol/remifentanil infusion was tried under a rebreathing mask at a 4 L/min of oxygen. With aggressive sedative challenges, ventilation pattern was gradually returned to normal during the 22 hrs of time after the surgery. A central neurogenic hyperventilation was suspected due to the stimulating central respiratory center by cold acidic irrigation solution during the neuroendoscopic procedure. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 16 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Professor | 3 | 19% |
Lecturer | 2 | 13% |
Student > Bachelor | 2 | 13% |
Lecturer > Senior Lecturer | 2 | 13% |
Researcher | 2 | 13% |
Other | 4 | 25% |
Unknown | 1 | 6% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 9 | 56% |
Nursing and Health Professions | 2 | 13% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 13% |
Agricultural and Biological Sciences | 1 | 6% |
Neuroscience | 1 | 6% |
Other | 0 | 0% |
Unknown | 1 | 6% |