Beware of "curare cleft" like changes during unilateral capnothorax

J Clin Monit Comput. 2014 Jun;28(3):315-8. doi: 10.1007/s10877-013-9519-5. Epub 2013 Oct 17.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Artifacts*
  • Capnography / methods*
  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control*
  • Diaphragm / drug effects*
  • Esophagectomy / adverse effects
  • Esophagectomy / methods*
  • Humans
  • Male
  • Monitoring, Intraoperative / methods*
  • Neuromuscular Agents / administration & dosage*
  • Neuromuscular Agents / adverse effects
  • Respiration Disorders / diagnosis
  • Respiration Disorders / etiology

Substances

  • Neuromuscular Agents