We describe a case of severe gastric insufflation in a patient with amyotrophic lateral sclerosis who was receiving bilevel nasal positive airway pressure (BNPAP) ventilation (BiPAP; Respironics; Murrysville, PA). The injection of inspiratory flow into the esophagus, aerophagia, and air trapping below the gastroesophageal junction after a meal are probably the major causes. We suggest that BNPA...

Although during the past twenty-five years insufflation and hysterosalpingography have both become established and widely practised procedures in the investigation of sterility, there are still certain aspects of both techniques upon which full agreement has not been reached. One of these is the question whether they should be regarded as alternative rather than as complementary procedures, ano...

provided the original work is properly cited. CC Pneumoperitoneum, using carbon dioxide (CO2), is used to assist laparoscopic surgery by making distension of abdominal cavity and splitting up its content, which improves visualization. However, artificial pneumoperitoneum may cause complications, such as bradycardia and even cardiac arrest, which are originated from increased abdominal pressure ...

We are reporting, a case of 52 year old male, with obstructive uropathy who underwent cystolithotripsy surgery associated chronic kidney disease presented respiratory distress, tachypnea and hypoxia on 3rd post-operative day. He was maintenance hemodialysis. Examination revealed absent air-entry right side, dull percussion note side positive trail sign. Chest X-ray HRCT showed complete collapse...

Hazards of carbon dioxide insufflation during thoracoscopy Editor,—I read with interest the review article on the anaesthetic implications of thoracoscopic sympathectomy. 1 When endobronchial anaesthesia is used, carbon dioxide may be insufflated only initially into the ipsilateral pleural space to augment lung collapse. In contrast , when a tracheal tube is used, carbon dioxide is insufflated ...