[Case of XXXX due to excessive @entity101 following extubation].

@entity1 @entity101 @entity3126 @entity1353 @entity1283 @entity26 @entity13519 @entity591 @entity2679 @entity1875 @entity2146 @entity2614 @entity2922 @entity3575 @entity1937
A 54-year-old @entity1 had emergency laparoscopic chelecystectomy for acute @entity2679 . General inflammatory change (CRP 26.6 mg x dl(-1), WBC 26,800) was noted preoperatively. Anesthesia was induced with @entity1875 and @entity1937 and maintained with @entity2614 in @entity26 and @entity1937 . Operation was performed uneventfully within 128 min. At the end of the surgery, 0.1 mg of @entity3575 was administrated. After confirming adequate respiration and oxygenation, endotracheal tube was removed. At that period, @entity101 ( @entity13519 220 mmHg) and @entity591 (HR 122 beats x min(-1)) developed. Soon thereafter, he became @entity2146 and complained of @entity1353 with desaturation (Spo2 < 70%). After reintubation, massive pinkish babbly secretion flowed out from the endotracheal tube. Chest X-ray revealed diffuse bilateral infiltration of the lungs without @entity1283 . He was transferred to the intensive care unit for mechanical ventilation. His condition improved progressively and was extubated on the POD 6. The cause of @entity3126 is thought to be profound centralization of circulating volume associated with @entity2922 -induced vasoconstriction due to rapid disappearance of @entity1937 effect. Adequate analgesia is necessary during @entity1937 -based anesthesia especially in @entity1 suffering from general inflammatory changes.
