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Vascular and Endovascular Surgery
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Transient Hypercapnia After Aortic Cross-Clamping — A Case Report

Aurel C. Cernaianu

Departments of Surgery and Anesthesia, Cooper Hospital/University Medical Center, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Camden, New Jersey

Anthony J. DelRossi

Departments of Surgery and Anesthesia, Cooper Hospital/University Medical Center, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Camden, New Jersey

Michael W. Moore

Departments of Surgery and Anesthesia, Cooper Hospital/University Medical Center, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Camden, New Jersey

Zorina L. Santos

Departments of Surgery and Anesthesia, Cooper Hospital/University Medical Center, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Camden, New Jersey

Mark A. Posner

Departments of Surgery and Anesthesia, Cooper Hospital/University Medical Center, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Camden, New Jersey

Despite adequate monitoring of ventilatory parameters and prophylactic treat ment with alkali, severe acidosis and hypercapnia may develop during the ischemic and reperfusion phase of the operation of the thoracic aorta when cross-clamping is used. The authors present a case wherein the use of sodium bicarbonate made possible the development of transient paradoxical acidosis and severe hypercap nia. Their report is focused on initial presentation and management.

Vascular and Endovascular Surgery, Vol. 26, No. 2, 147-150 (1992)
DOI: 10.1177/153857449202600210
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