Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Xuewei Liu^1*
1Sichuan University West China Hospital, Department of Anesthesiology, Chengdu, Sichuan, China

Corresponding Author: Xuewei Liu
Address: Sichuan University West China Hospital, Department of Anesthesiology, 37 Guoxuexiang, Chengdu, Sichuan, 610041 China.
Received date: 08 January 2024; Accepted date: 15 January 2024; Published date: 20 January 2024

Citation: Liu X. Oxygen-Associated Hypercapnia after both side Video-Assisted Thoracoscopic Surgery – A Case Report. Asp Biomed Clin Case Rep. 2024 Jan 20;7(1):36-39.

Copyright © 2024 Liu X. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Video-Assisted Thoracoscopic Surgery, Hypercapnia, Carbon Dioxide Narcosis, Reintubation

Abstract

Thoracoscopy, as a minimally invasive surgical technique in the field of thoracic surgery, has been widely utilized due to its minimally invasive nature, cost-effectiveness, and short hospital stay. Most thoracoscopic surgeries involve intraoperative single-lung ventilation, aiming to maintain intraoperative oxygen saturation (SPO₂) above 93% by increasing the respiratory rate and administering a high concentration of oxygen. However, the high concentration of oxygen administered during surgery and postoperative pain in thoracic surgery often result in decreased ventilation and hypoxia in patients. This case report details a patient who underwent bilateral thoracoscopic surgery with single-lung ventilation on both sides, subsequently developing oxygen-associated hypercapnia in the post-anesthesia care unit (PACU) and necessitating reintubation.