Document Detail


Can prolonged expiration manoeuvres improve the prediction of arterial PCO2 from end-tidal PCO2?
MedLine Citation:
PMID:  9175968     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have studied, in 16 patients undergoing thoracoabdominal oesophagectomy, if two prolonged expiration manoeuvres improve prediction of arterial PCO2 (PaCO2) from end-tidal PCO2 (PE' CO2). PE' CO2, PCO2 at the end of a simple prolonged expiration (PE1 CO2), and PCO2 at the end of a prolonged expiration preceded by sustained hyperinflation of the lungs (PE2 CO2), were measured during laparotomy, in the lateral thoracotomy position during two-lung ventilation, and after transition to one-lung ventilation. (PaCO2-PE' CO2) was 1.3 (SD 0.4) kPa during laparotomy and this remained stable throughout the study. Both manoeuvres decreased the mean arterial to peak expired PCO2 difference, particularly during one-lung ventilation. However, PE1 CO2 and PE2 CO2 did not agree more closely with PaCO2 than PE' CO2 at any stage of the study. We conclude that these manoeuvres did not improve estimation of PaCO2 from PE' CO2.
Authors:
B Tavernier; D Rey; D Thevenin; J P Triboulet; P Scherpereel
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  78     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-06-19     Completed Date:  1997-06-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  536-40     Citation Subset:  IM    
Affiliation:
Département d'Anesthésie Réanimation Chirurgicale II, Hôpital Claude Huriez-Chru de Lille.
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MeSH Terms
Descriptor/Qualifier:
Aged
Capnography*
Carbon Dioxide / blood*
Esophageal Neoplasms / surgery
Esophagectomy
Female
Forced Expiratory Volume
Humans
Male
Middle Aged
Monitoring, Intraoperative / methods*
Partial Pressure
Predictive Value of Tests
Respiration*
Vital Capacity
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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