Anesthesia and Respiratory Disorders
Abstract
A 56- year old male patient, chronic smoker for the past 30 years, is known case of chronic obstructive pulmonary disease. pre-operative stabilization with inhaled bronchodilators, oral antibiotics and mucolytics the patient is posted for laparoscopic cholecystectomy. After induction of general anesthesia and securing airway with endotracheal tube, the surgery is started. After insufflation of abdomen with carbon-dioxide, the oxygen saturation falls and ventilation becomes difficult as judged by difficulty in pressing reservoir bag in Bain’s circuit.