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Carbon dioxide narcosis in respiratory failure : a case report / Jason A. Dacanay.

Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Anesthesiology, FEU-NRMF, 2011.Description: tables; (in folder)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
Subject(s): LOC classification:
  • ANES 2011 0001
Summary: 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.
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Item type Current library Call number Status Date due Barcode
Room Use Far Eastern University - Nicanor Reyes Medical Foundation Research ANES 2011 0001 (Browse shelf(Opens below)) Available R000020

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

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