Left Lower Lung Collapse in a Patient Undergoing Endoscopic Procedure.

Area of Science:

• Anesthesiology
• Pulmonology
• Gastroenterology

Background:

• ASA closed claims data (2000-2009) indicate higher rates of adverse respiratory events in nonoperating room locations (44%) compared to operating rooms (20%).
• Endoscopic procedures are increasingly performed in nonoperating room settings, necessitating a focus on patient safety.

Observation:

• A case of lung atelectasis leading to hypoxemia in a malnourished patient during an endoscopic procedure is presented.
• This case highlights the potential risks associated with nonoperating room procedures, particularly in vulnerable patient populations.

Findings:

• Malnourished patients undergoing endoscopic procedures are at increased risk for respiratory complications.
• Early identification and monitoring of high-risk patients are crucial for preventing adverse outcomes.

Implications:

• Continuous capnometry monitoring in the recovery area can aid in the early detection of hypercapnia and hypoventilation.
• Implementing advanced monitoring techniques may prevent serious respiratory complications post-procedure, improving patient outcomes.