Document Detail

Early diagnosis of airway closure from pigtail signature capnogram and its management in intubated small infants undergoing general anaesthesia for surgery.
MedLine Citation:
PMID:  20882177     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Spontaneous glottis closure during expiration in infants is a normal protective reflex that helps prevent alveolar and small airway collapse (due to compliant chest wall) and thereby maintains functional residual capacity. Endotracheal intubation eliminates this protective mechanism and puts the infant into the risk of hypoxaemia and hypercarbia. This report sums up the early detection of airway closure in a series of three intubated small infants undergoing surgery with general anaesthesia, by the appearance of typical pigtail shaped capnogram, associated with decreased end tidal carbon dioxide and mild hypoxaemia, which was successfully managed by early institution of positive end expiratory pressure.
Sanghamitra Mishra
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of anaesthesia     Volume:  54     ISSN:  0976-2817     ISO Abbreviation:  Indian J Anaesth     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-09-30     Completed Date:  2011-07-14     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0013243     Medline TA:  Indian J Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  331-4     Citation Subset:  -    
Department of Anaesthesiology and Critical Care, I.M.S & SUM Hospital, BBSR, Orissa, India.
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