INTELLiVENT<sup>®</sup>-ASV was Useful for Arterial Carbon Dioxide Management during Perioperative Period Ventilation for Craniotomy Surgery : A Case Report

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  • HINA Taichi
    Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, University of the Ryukyus
  • FUCHIGAMI Tatsuya
    Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, University of the Ryukyus
  • MADANBASHI Yuiko
    Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, University of the Ryukyus
  • TERUYA Koji
    Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, University of the Ryukyus
  • KAKINOHANA Manabu
    Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine, University of the Ryukyus

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  • 開頭術後人工呼吸中の動脈血二酸化炭素分圧管理においてINTELLiVENT<sup>®</sup>-ASVが有用だった1例

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Abstract

<p>While performing craniotomy surgery under perioperative mechanical ventilation, care should be taken to avoid hypercapnia in the perioperative period. Herein, we report a brain stem tumor removal surgery performed successfully under PaCO2 management by using adaptive support ventilation (ASV) with INTELLiVENT®-ASV (iASV).<BR>A 34-year-old man was diagnosed with a brain stem tumor and underwent craniotomy for tumor removal. Continuous mechanical ventilation was provided on the day of the surgery. After admission to the intensive care unit, an appropriate iASV mode was selected to avoid hypercapnia. Over the course of 12 h, EtCO2 and PaCO2 were both generally stable at 36-38 mmHg. iASV mode defines the appropriate %MV depending on the height and sex of the patient and automatically changes the respiratory settings by continuously monitoring EtCO2 and PaCO2. This function may allow smooth and accurate adjustment of ventilation during recovery from neurosurgical procedures.</p>

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