Document Detail


Changes in the arterial to end-tidal PCO2 differences during coronary artery bypass grafting.
MedLine Citation:
PMID:  2511727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The arterial to end-tidal PCO2 difference, PaCO2-PE,CO2, was measured at four different stages during coronary artery bypass grafting in 43 patients: 1) before sternotomy; 2) after sternotomy, sternum retracted; 3) after bypass, sternum still retracted; 4) sternum closed. Mean PaCO2-PE,CO2 initially was 0.6 kPa and changed scarcely at all during the procedure. There were, however, some moderate individual changes in PaCO2-PE,CO2 during surgery, the range of changes compared to the initial value being from -1.4 to +1.3 kPa. The standard deviations for the changes from stage to stage were 0.3-0.4 kPa. PaCO2-PE,CO2 changed by more than 0.5 kPa on only 12 occasions in ten patients. The limitations of PaCO2-PE,CO2 as an index of the alveolar deadspace fraction and the efficiency of ventilation are discussed.
Authors:
R Fletcher; F Veintemilla
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  33     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  1989 Nov 
Date Detail:
Created Date:  1990-01-05     Completed Date:  1990-01-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  DENMARK    
Other Details:
Languages:  eng     Pagination:  656-9     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, University Hospital, Lund, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carbon Dioxide / blood*,  metabolism
Coronary Artery Bypass*
Extracorporeal Circulation
Female
Heart Catheterization
Humans
Lung Volume Measurements*
Male
Middle Aged
Pulmonary Gas Exchange*
Respiratory Transport
Sternum / surgery
Tidal Volume*
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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