Anesthetic considerations for patients with esophageal achalasia undergoing peroral endoscopic myotomy: a retrospective case series review

ConclusionCarbon dioxide insufflation during POEM produces systemic CO2 uptake and increased intra-abdominal pressure. Changes in cardiorespiratory parameters include increased pmax, etCO2, MAP, and HR. Hyperventilation and PND help mitigate some of these changes. Subcutaneous emphysema is common and may delay extubation and prolong PACU stay.

http://link.springer.com/10.1007/s12630-017-0820-5

Source: Canadian Journal of Anesthesia - January 22, 2017 Category: Anesthesiology Source Type: research