| Transcutaneous carbon dioxide monitoring accurately predicts arterial carbon dioxide partial pressure in patients undergoing prolonged laparoscopic surgery. | |
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MedLine Citation:
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PMID: 20584872 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: There may be large differences between measurements of end-tidal carbon dioxide partial pressure (Petco(2)) and arterial carbon dioxide partial pressure (Paco(2)) during laparoscopic surgeries. Transcutaneous carbon dioxide (Ptcco(2)) monitoring can be used to noninvasively and continuously estimate Paco(2). In the present study we evaluated the accuracy of Ptcco(2) monitoring in predicting the Paco(2) during laparoscopic surgeries with prolonged pneumoperitoneum. METHODS: Sixteen patients who underwent laparoscopic radical gastrectomy or radical proctectomy under general anesthesia were included in the study. Their Paco(2), Petco(2), and Ptcco(2) values were measured at 3 time points before and after pneumoperitoneum. Agreement among measures was assessed by the Bland-Altman method. RESULTS: Forty-eight sample sets were obtained. The average Paco(2)- Ptcco(2) difference was -0.9 + or - 6.4 mm Hg (mean + or - 2 SD). The average Paco(2) - Petco(2) difference was 7.5 + or - 7.0 mm Hg (mean + or - 2 SD). Paco(2) - Ptcco(2) was less than or equal to + or -5 mm Hg for 88% of the samples. Paco(2) - Petco(2) was less than or equal to + or -5 mm Hg for 17% of the samples (P < 0.05). CONCLUSIONS: While undergoing long-term pneumoperitoneum laparoscopic surgery, Ptcco(2) monitoring is more accurate than is PETCO(2) monitoring in predicting the patients' Paco(2). |
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Authors:
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Qingsheng Xue; Xiaowen Wu; Jue Jin; Buwei Yu; Minhua Zheng |
Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article Date: 2010-06-28 |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 111 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-28 Completed Date: 2010-08-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 417-20 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197#, No. 2 Ruijin Road, Shanghai 200025, P. R. China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Anesthesia, General Biological Markers / blood Blood Gas Monitoring, Transcutaneous* Carbon Dioxide / blood* Female Gastrectomy / methods* Humans Laparoscopy* Male Middle Aged Monitoring, Intraoperative / methods* Partial Pressure Pneumoperitoneum, Artificial Predictive Value of Tests Prostatectomy / methods* Reproducibility of Results Time Factors |
| Chemical | |
Reg. No./Substance:
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0/Biological Markers; 124-38-9/Carbon Dioxide |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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