Perioperative Carbon Dioxide Narcosis during ERCP: Report of Two Cases

摘要

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a common diagnostic and therapeutic gastrointestinal intervention. It isgaining prominence and use because of low morbidity associated with it compared to surgical procedure. ERCP is usually conductedoutside operating suite, with compromised position under deep sedation or General Anaesthesia (GA) without control of airway. Wereport development of CO2 narcosis in two patients who underwent ERCP under general anaesthesia, for removal of biliary stone andbiliary stenting. We also reviewed the available literature on administration of anaesthesia and monitoring for ERCP.