Dj. Pearce, RESPIRATORY-ACIDOSIS AND SUBCUTANEOUS EMPHYSEMA DURING LAPAROSCOPIC CHOLECYSTECTOMY, Canadian journal of anaesthesia, 41(4), 1994, pp. 314-316
A case is presented of a healthy 69-yr-old woman who underwent electiv
e laparoscopic cholecystectomy under general anaesthesia. As surgery p
roceeded she developed hypercapnia (arterial blood PaCO2 = 100 mmHg) a
nd a related respiratory acidosis (arterial blood pH 707). The cause w
as attributed to subcutaneous insufflation and absorption of CO2, dire
ctly related to the surgical pneumoperitoneum.