Carbon dioxide narcosis in respiratory failure : a case report / Jason A. Dacanay. - Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2011. - tables; (in folder)

Includes bibliographical references and appendices

Abstract: Carbon dioxide (CO2) narcosis is defined as central nervous system depression resulting to confusion, tremors, convulsions, and possible coma. It may be the result of intracranial hypertension and or severe intracellular acidosis. Individuals with chronic obstructive Pulmonary Disease (COPD) can have CO2 narcosis with out the above signs and symptoms because they develop a tolerance to elevated CO2. Presented is a case of an 82 year old male with COPD receiving oxygen therapy that underwent open reduction with Internal Fixation of right femur under regional anesthesia, who developed tachycardia, hypertension, desaturation, sinus arhythmia, apneic episodes and unresponsiveness during the operation. These intraoperative events strongly suggest the possibility of carbon dioxide narcosis thus appropriate resuscitative and medical management were done to prevent coma and death that can be brought about by carbon dioxide narcosis.

Research - Department of Anesthesiology


carbon dioxide narcosis
respiratory failure

ANES 2011 0001