Use of non-partitioned ventilator tubing results in dead-space ventilation hypercarbia

Respir Care. 2011 May;56(5):698-701. doi: 10.4187/respcare.01017. Epub 2011 Feb 10.

Abstract

We present a case of severe postoperative hypercarbia in a patient with severe COPD. Hypercarbia and respiratory acidosis continued to increase despite maximal ventilation, bronchodilator therapy, sedation, and paralysis. Mistaken use of non-partitioned ventilator circuit was the cause of the hypercarbia. The ventilator's self-test function failed to detect the error. We changed to a partitioned-lumen circuit, with much less ventilation dead space, and the hypercarbia resolved immediately.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Equipment Failure
  • Humans
  • Hypercapnia / etiology*
  • Male
  • Pulmonary Disease, Chronic Obstructive / therapy*
  • Respiration, Artificial / adverse effects
  • Respiration, Artificial / instrumentation*
  • Ventilators, Mechanical / adverse effects*