Case discussion: why acidosis?

i did a robot nephrectomy and i kept my patient intubated at the end due to respiratory acidosis. she is elderly with the usual hypertension, DM on insulin, but also with bad pulmonary disease, a component of COPD and severe reduced dlco. on home o2 2L. room air saturation 79-84% surgery uneventful. 400 ebl. 6 hour case in lateral position. 2.5L fluid. On emergence, following instructions, having minute ventilation of ~5L, (RR 16, TV ~350-400), with no vent support, thru a 7.0 tube... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums