Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25751/rspa.15971 |
Resumo: | Transanal minimally invasive surgery (TAMIS) was first described in 2015 and allows resection of early stage malignant rectal lesions or more advanced lesions when the patients are clinically unable to undergo more aggressive surgery. We report a case of hypercapnia during TAMIS presumably related to gas leak from the rectum cavity and absorption into the arterial blood. Although the patient was treated conservatively and showed no clinical consequences of the events described, this report highlight the need for awareness about the gas leak as a possible complications related to this techniques and need for closer monitoring as these might result in immediate or delayed respiratory failure. |
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Intraoperative Hypercapnia in Transanal Minimally Invasive SurgeryHipercápnia Intraoperatória em Cirurgia Transanal Minimamente Invasiva:Caso ClínicoTransanal minimally invasive surgery (TAMIS) was first described in 2015 and allows resection of early stage malignant rectal lesions or more advanced lesions when the patients are clinically unable to undergo more aggressive surgery. We report a case of hypercapnia during TAMIS presumably related to gas leak from the rectum cavity and absorption into the arterial blood. Although the patient was treated conservatively and showed no clinical consequences of the events described, this report highlight the need for awareness about the gas leak as a possible complications related to this techniques and need for closer monitoring as these might result in immediate or delayed respiratory failure.A cirurgia transanal minimamente invasiva (TAMIS) foi descrita pela primeira vez em 2015 e permite a resseção de lesões rectais malignas em estadios precoces ou lesões mais avançadas quando a condição clínica do doente não permite cirurgia mais agressiva. Reportamos um caso de hipercápnia durante TAMIS presumivelmente relacionada com fuga de gás da cavidade rectal e absorção arterial. Apesar de a doente ter sido tratada conservadoramente e não apresentar consequências do evento descrito, este caso enaltece a necessidade de atenção à fuga de gás como uma complicação relacionada com esta técnica e de monitorização apertada uma vez que esta pode levar a insuficiência respiratória imediata ou tardia.Sociedade Portuguesa de Anestesiologia2019-04-04T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.15971eng0871-6099Portela, InêsJacob, MiguelMulenas, NídiaLares, Anainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-09-23T15:34:47Zoai:ojs.revistas.rcaap.pt:article/15971Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:04:15.002750Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery Hipercápnia Intraoperatória em Cirurgia Transanal Minimamente Invasiva: |
title |
Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery |
spellingShingle |
Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery Portela, Inês Caso Clínico |
title_short |
Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery |
title_full |
Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery |
title_fullStr |
Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery |
title_full_unstemmed |
Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery |
title_sort |
Intraoperative Hypercapnia in Transanal Minimally Invasive Surgery |
author |
Portela, Inês |
author_facet |
Portela, Inês Jacob, Miguel Mulenas, Nídia Lares, Ana |
author_role |
author |
author2 |
Jacob, Miguel Mulenas, Nídia Lares, Ana |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Portela, Inês Jacob, Miguel Mulenas, Nídia Lares, Ana |
dc.subject.por.fl_str_mv |
Caso Clínico |
topic |
Caso Clínico |
description |
Transanal minimally invasive surgery (TAMIS) was first described in 2015 and allows resection of early stage malignant rectal lesions or more advanced lesions when the patients are clinically unable to undergo more aggressive surgery. We report a case of hypercapnia during TAMIS presumably related to gas leak from the rectum cavity and absorption into the arterial blood. Although the patient was treated conservatively and showed no clinical consequences of the events described, this report highlight the need for awareness about the gas leak as a possible complications related to this techniques and need for closer monitoring as these might result in immediate or delayed respiratory failure. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-04T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25751/rspa.15971 |
url |
https://doi.org/10.25751/rspa.15971 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0871-6099 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
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1799130505888661504 |