Co2 Rebreathing Observed While Using a Bag-Mask Resuscitator With Integrated Manometer: A Case Report.

IF 0.5

A&A Practice Pub Date : 2022-12-01 DOI:10.1213/XAA.0000000000001648

Marianfeli C Landino-Delgado, Anh P Le, Alecia L Sabartinelli Stein, Juliana M Morales, Richard R McNeer, Joni M Maga

引用次数: 0

Abstract

Bag-mask resuscitators with integrated manometry help reduce the risk of pulmonary injury during manual ventilation. All such devices must function as intended while preventing carbon dioxide rebreathing, as unintended hypercapnia can be harmful in critically ill patients. We describe a case of carbon dioxide rebreathing in a patient suspected of having a brain injury after blunt trauma who was manually ventilated with a widely available bag-mask resuscitator with integrated manometry after emergent intubation. This case highlights the importance of vigilant monitoring of end-tidal carbon dioxide and appropriate troubleshooting and investigation of unexplained findings to mitigate and prevent adverse patient outcomes.

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使用带集成压力计的气囊面罩复苏器时观察到的二氧化碳再呼吸:1例报告。

带综合测压的气囊面罩复苏器有助于降低人工通气时肺损伤的风险。所有这些设备都必须在防止二氧化碳再呼吸的同时正常工作，因为意外的高碳酸血症可能对危重病人有害。我们描述了一个二氧化碳再呼吸的病例，该患者在钝性创伤后疑似脑损伤，在紧急插管后使用广泛使用的带综合测压的袋罩复苏器进行人工通气。本病例强调了警惕监测潮汐末二氧化碳的重要性，以及对无法解释的发现进行适当的故障排除和调查，以减轻和预防患者的不良后果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.