Literature DB >> 24132805

Beware of "curare cleft" like changes during unilateral capnothorax.

Manila Singh1, Kapil Chaudhary, Rajeev Uppal, Sachin Jain.   

Abstract

Capnography is a standard monitoring tool during general anaesthesia. Diaphragmatic movement with the weaning of muscle relaxant effect produces the characteristic "curare cleft" on capnography. Various artefacts can mimick this trace intraoperatively. Cautious interpretation and identification of these is essential to avoid any undue overdosing of the patients with muscle relaxants. We report "curare cleft" like artefact during ventilation with a single lumen tube in a patient with unilateral capnothorax undergoing minimally invasive esophagectomy.

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Year:  2013        PMID: 24132805     DOI: 10.1007/s10877-013-9519-5

Source DB:  PubMed          Journal:  J Clin Monit Comput        ISSN: 1387-1307            Impact factor:   2.502


  4 in total

1.  Anesthesia machine malfunction simulating spontaneous respiratory effort.

Authors:  T Hensler; M S Dhamee
Journal:  J Clin Monit       Date:  1990-04

2.  A partial disconnection at the main stream CO2 transducer mimics "curare-cleft" capnograph.

Authors:  M Tripathi; M Tripathi
Journal:  Anesthesiology       Date:  1998-04       Impact factor: 7.892

3.  Capnographic detection of diaphragm movements ("curare clefts") during complete vecuronium neuromuscular block of the adductor pollicis muscle.

Authors:  U Bissinger; G Lenz
Journal:  Anesth Analg       Date:  1993-12       Impact factor: 5.108

Review 4.  Terminology and the current limitations of time capnography: a brief review.

Authors:  K Bhavani-Shankar; A Y Kumar; H S Moseley; R Ahyee-Hallsworth
Journal:  J Clin Monit       Date:  1995-05
  4 in total
  1 in total

Review 1.  Journal of clinical monitoring and computing 2014 end of year summary: respiration.

Authors:  D S Karbing; S E Rees; M B Jaffe
Journal:  J Clin Monit Comput       Date:  2015-03-04       Impact factor: 2.502

  1 in total

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