Delayed Onset Hypercapnia in Patients With Anemia Undergoing Total Laparoscopic Hysterectomy: A Report of 2 Cases

10 March 2026 : Case report Sri Lanka

Management of emergency care, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology

Ashani Ratnayake

^{ACDE 1}, Sampath Gnanarathne

^{ABCD 2}, U.A. Isurindi

^{DEF 1*}

DOI: 10.12659/AJCR.951423

Am J Case Rep 2026; 27:e951423

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Table 1 Arterial blood gas reports of the patients at the time of respiratory deterioration showing respiratory acidosis.

Parameter	Case 1	Case 2	Reference range
pH	7.01	7.06	7.35 to 7.45
PaCO (mmHg)	88	88	35 to 45
PaO (mmHg)	106	128	75 to 100
HCO (mmol/L)	29	28	22 to 26
Base excess (mEq/L)	−4	−4.6	−2 to +2
Lactate (mmol/L)	1	0.8	0.5 to 2.2
PaCO – partial pressure of arterial carbon dioxide; PaO – partial pressure of arterial oxygen; HCO – bicarbonate.

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