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Respiratory roller coaster ride following ambulatory surgery in a young woman: A case report

INTRODUCTION: Ambulatory surgery has the advantages of shortening the waiting time for hospitalization and reducing medical expenses. It has been more and more widely used in recent years in China. The patients admitted in Ambulatory Surgery Center are generally in good condition (ASA I-II), with cl...

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Autores principales: Liu, Yijun, Zhu, Xiaoyan, Xie, Yongqiu, Yan, Jianqin, Guo, Qulian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7493036/
https://www.ncbi.nlm.nih.gov/pubmed/32932037
http://dx.doi.org/10.1016/j.ijscr.2020.09.010
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author Liu, Yijun
Zhu, Xiaoyan
Xie, Yongqiu
Yan, Jianqin
Guo, Qulian
author_facet Liu, Yijun
Zhu, Xiaoyan
Xie, Yongqiu
Yan, Jianqin
Guo, Qulian
author_sort Liu, Yijun
collection PubMed
description INTRODUCTION: Ambulatory surgery has the advantages of shortening the waiting time for hospitalization and reducing medical expenses. It has been more and more widely used in recent years in China. The patients admitted in Ambulatory Surgery Center are generally in good condition (ASA I-II), with clear diagnosis, short operation time, low operation risk and low incidence of postoperative complications. It is easy to paralyze the medical staff, neglecting the importance of preoperative preparation, and then causing physical and psychological damage to the patient. PRESENTATION OF CASE: We describe the case of a 21-year-old woman, presented with erratic respiratory rate with a maximum of 40 breaths min(−1) and a minimum of 7 breaths min(−1) after undergoing arthroscopic meniscectomy. The arterial blood gas analysis revealed a disruption of the acid-base homeostasis with respiratory alkalosis and metabolic acidosis, while all other examinations were normal. DISCUSSION: Drug-related adverse reactions, emergence agitation or psychiatric factors may have caused the observed symptoms. CONCLUSION: Our observations demonstrate that more extensive clinical and psychological examinations prior to surgery involving general anesthesia may help in avoiding anesthesia-related complications, even in young individuals from the Ambulatory Surgery Center.
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spelling pubmed-74930362020-09-24 Respiratory roller coaster ride following ambulatory surgery in a young woman: A case report Liu, Yijun Zhu, Xiaoyan Xie, Yongqiu Yan, Jianqin Guo, Qulian Int J Surg Case Rep Case Report INTRODUCTION: Ambulatory surgery has the advantages of shortening the waiting time for hospitalization and reducing medical expenses. It has been more and more widely used in recent years in China. The patients admitted in Ambulatory Surgery Center are generally in good condition (ASA I-II), with clear diagnosis, short operation time, low operation risk and low incidence of postoperative complications. It is easy to paralyze the medical staff, neglecting the importance of preoperative preparation, and then causing physical and psychological damage to the patient. PRESENTATION OF CASE: We describe the case of a 21-year-old woman, presented with erratic respiratory rate with a maximum of 40 breaths min(−1) and a minimum of 7 breaths min(−1) after undergoing arthroscopic meniscectomy. The arterial blood gas analysis revealed a disruption of the acid-base homeostasis with respiratory alkalosis and metabolic acidosis, while all other examinations were normal. DISCUSSION: Drug-related adverse reactions, emergence agitation or psychiatric factors may have caused the observed symptoms. CONCLUSION: Our observations demonstrate that more extensive clinical and psychological examinations prior to surgery involving general anesthesia may help in avoiding anesthesia-related complications, even in young individuals from the Ambulatory Surgery Center. Elsevier 2020-09-06 /pmc/articles/PMC7493036/ /pubmed/32932037 http://dx.doi.org/10.1016/j.ijscr.2020.09.010 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Liu, Yijun
Zhu, Xiaoyan
Xie, Yongqiu
Yan, Jianqin
Guo, Qulian
Respiratory roller coaster ride following ambulatory surgery in a young woman: A case report
title Respiratory roller coaster ride following ambulatory surgery in a young woman: A case report
title_full Respiratory roller coaster ride following ambulatory surgery in a young woman: A case report
title_fullStr Respiratory roller coaster ride following ambulatory surgery in a young woman: A case report
title_full_unstemmed Respiratory roller coaster ride following ambulatory surgery in a young woman: A case report
title_short Respiratory roller coaster ride following ambulatory surgery in a young woman: A case report
title_sort respiratory roller coaster ride following ambulatory surgery in a young woman: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7493036/
https://www.ncbi.nlm.nih.gov/pubmed/32932037
http://dx.doi.org/10.1016/j.ijscr.2020.09.010
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