• Beata Evans, Seamas Dore, and Deanna Couser.
• Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, Virginia.
• Curr Opin Anaesthesiol. 2022 Apr 1; 35 (2): 248254248-254.

Purpose Of ReviewHypercarbia in pediatric patients is an important component of intraoperative management. Despite marked advances in medicine and technology, it is uncertain what the physiological CO2 range in neonates, infants and small children. This data is extrapolated from the adult population. We are going to review advantages and disadvantages of CO2 measurement techniques, causes and systemic effects of hypercarbia. We are going to discuss how to approach management of intraoperative hypercarbia.Recent FindingsAlthough physiological range in this patient population may not be fully understood, it is known that any rapid change from a child's baseline increases risks of complications. Any derangements in CO2 are further compromised by hypoxia, hypotension, hypothermia, anemia, all of which may occur in a dynamic operating room environment.SummaryPediatric anesthesiologists and their teams must remain vigilant and anticipate these developments. Care must be taken to avoid any rapid changes in these vulnerable patients to minimize risks of adverse outcomes.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

24 keywords...

hide…