Mt. Makinen et al., EARLY DETECTION OF CO2 PNEUMOTHORAX WITH CONTINUOUS SPIROMETRY DURINGLAPAROSCOPIC FUNDOPLICATION, Acta anaesthesiologica Scandinavica, 39(3), 1995, pp. 411-413
In two patients, operated on because of gastroesophageal reflux, carbo
n dioxide pneumothorax developed during laparoscopic Nissen fundoplica
tion. In both instances, decrease of lung compliance and a change of p
ressure-volume loop configuration, computed and illustrated with oh-li
ne spirometry led quickly to diagnosis of this complication. We conclu
de that continuous spirometry is valuable as an early indicator of int
raoperative pneumothorax.