Document Detail


Transcutaneous carbon dioxide monitoring accurately predicts arterial carbon dioxide partial pressure in patients undergoing prolonged laparoscopic surgery.
MedLine Citation:
PMID:  20584872     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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).
Authors:
Qingsheng Xue; Xiaowen Wu; Jue Jin; Buwei Yu; Minhua Zheng
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2010-06-28
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  111     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-28     Completed Date:  2010-08-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  417-20     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197#, No. 2 Ruijin Road, Shanghai 200025, P. R. China.
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MeSH Terms
Descriptor/Qualifier:
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:
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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