Case 83: Peroral Endoscopic Myotomy (POEM)
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Today you are to anesthetize a 41-year-old female (5′4″, 44 Kg) for a minimally invasive procedure called peroral endoscopic myotomy (POEM). This technique has been shown to be highly effective in treating achalasia. She is otherwise healthy (ASA 2). You see her in the preoperative area and find her normotensive with an oxygen saturation (SpO2) of 100% while breathing room air.
KeywordsPeroral endoscopic myotomy (POEM) GA Pneumoperitoneum Subcutaneous emphysema Peak airway pressure End-tidal CO2
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