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Case report
Parineeta Thapa
B. P. Koirala Institute of Health Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6801-6004
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Respiratory adverse events are not uncommon in the post anesthesia care unit (PACU) following general anesthesia. In this regard, hyperventilation leading to apnea and desaturation is a rare entity. Here we have reported a case of a 15 year old girl who, following an uneventful general anesthesia, developed severe hyperventilation leading to apnea and desaturation in the PACU.
Case presentation
The 15 year old girl underwent cortical mastoidectomy under general anesthesia. After a smooth anesthesia and an uneventful early recovery, she developed hyperventilation after about 15 minutes in the PACU. The symptom was severe enough to lead to apnea, desaturation and severe respiratory alkalosis. She required bag and mask ventilation and the symptoms resolved only transiently with propofol sedation. Finally she responded to intravenous haloperidol and did not have any further episode after receiving haloperidol
Conclusion
Hyperventilation after a smooth recovery from anesthesia is not a common presentation. In this article we have tried to discuss the possible cause of such symptom in our patient and how we successfully managed this case. We have also proposed an algorithmic approach to diagnose and manage such a case in the PACU.
Keywords
Apnea, hyperventilation, hypoxia, recovery room
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Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Anesthesiology.
No community comments so far
Submission checks complete
On 07 Nov, 2019
Editorial decision: Accept
On 07 Aug, 2019
No comments provided
Editorial decision: Minor revision
On 31 Jul, 2019
Review #2 received
Received 15 Jul, 2019
Reviewer #2 agreed
On 11 Jul, 2019
Review #1 received
Received 05 Jul, 2019
Reviewers invited
Invitations sent on 05 Jul, 2019
Reviewer #1 agreed
On 05 Jul, 2019
Submission checks complete
On 08 May, 2019
Editor invited
On 08 May, 2019
Editor assigned
On 08 May, 2019
Version 1
Posted 28 Mar, 2019
No comments provided
Editorial decision: Minor revision
On 22 Apr, 2019
Review #3 received
Received 21 Apr, 2019
Review #2 received
Received 16 Apr, 2019
Reviewer #3 agreed
On 10 Apr, 2019
Review #1 received
Received 10 Apr, 2019
Reviewer #1 agreed
On 09 Apr, 2019
Reviewer #2 agreed
On 09 Apr, 2019
Editor assigned
On 08 Apr, 2019
Reviewers invited
Invitations sent on 08 Apr, 2019
Submission checks complete
On 26 Mar, 2019
Editor invited
On 26 Mar, 2019
Metrics
Comments: 0
PDF Downloads: ...
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Subject Areas
Internal Medicine Specialties
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Anesthesiology.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Case report
Parineeta Thapa
B. P. Koirala Institute of Health Sciences
Corresponding Author
ORCiD: https://orcid.org/0000-0002-6801-6004
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Anesthesiology.
No community comments so far
Submission checks complete
On 07 Nov, 2019
Editorial decision: Accept
On 07 Aug, 2019
No comments provided
Editorial decision: Minor revision
On 31 Jul, 2019
Review #2 received
Received 15 Jul, 2019
Reviewer #2 agreed
On 11 Jul, 2019
Review #1 received
Received 05 Jul, 2019
Reviewers invited
Invitations sent on 05 Jul, 2019
Reviewer #1 agreed
On 05 Jul, 2019
Submission checks complete
On 08 May, 2019
Editor invited
On 08 May, 2019
Editor assigned
On 08 May, 2019
Version 1
Posted 28 Mar, 2019
No comments provided
Editorial decision: Minor revision
On 22 Apr, 2019
Review #3 received
Received 21 Apr, 2019
Review #2 received
Received 16 Apr, 2019
Reviewer #3 agreed
On 10 Apr, 2019
Review #1 received
Received 10 Apr, 2019
Reviewer #1 agreed
On 09 Apr, 2019
Reviewer #2 agreed
On 09 Apr, 2019
Editor assigned
On 08 Apr, 2019
Reviewers invited
Invitations sent on 08 Apr, 2019
Submission checks complete
On 26 Mar, 2019
Editor invited
On 26 Mar, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Internal Medicine Specialties
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Anesthesiology.
Background
Respiratory adverse events are not uncommon in the post anesthesia care unit (PACU) following general anesthesia. In this regard, hyperventilation leading to apnea and desaturation is a rare entity. Here we have reported a case of a 15 year old girl who, following an uneventful general anesthesia, developed severe hyperventilation leading to apnea and desaturation in the PACU.
Case presentation
The 15 year old girl underwent cortical mastoidectomy under general anesthesia. After a smooth anesthesia and an uneventful early recovery, she developed hyperventilation after about 15 minutes in the PACU. The symptom was severe enough to lead to apnea, desaturation and severe respiratory alkalosis. She required bag and mask ventilation and the symptoms resolved only transiently with propofol sedation. Finally she responded to intravenous haloperidol and did not have any further episode after receiving haloperidol
Conclusion
Hyperventilation after a smooth recovery from anesthesia is not a common presentation. In this article we have tried to discuss the possible cause of such symptom in our patient and how we successfully managed this case. We have also proposed an algorithmic approach to diagnose and manage such a case in the PACU.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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