Abstract: The purpose of this case report is to review the literature related to the complications of carbon dioxide (CO2) retention during a robotic laparoscopic procedure. A 38-year-old female with a BMI of 49.6 was positioned in steep Trendelenburg for a hysterectomy and bilateral salpingectomy. Complications of high end-tidal CO2 readings peaked at 85 mmHg and the robot had to be docked and a prolonged duration of general anesthesia ensued. Signs and symptoms were identified, differential diagnoses were made, and the patient was safely transferred to post anesthesia care unit without subsequent complications.
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