Continuous Measurement of Arterial Blood Gas Status during Total Hip Replacement: A Prospective Study
| Autor: | Fernandez A, Hendry Sp, Pigott Dw, Venkatesh B |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Intensive care medicine Humans Femur Oximetry Prospective Studies 030212 general & internal medicine Prospective cohort study Aged Cement medicine.diagnostic_test business.industry Bone Cements 030208 emergency & critical care medicine Middle Aged Acetabulum Surgery Oxygen Pulse oximetry Anesthesiology and Pain Medicine Orthopedic surgery Arterial blood Female Hip Prosthesis business |
| Zdroj: | Anaesthesia and Intensive Care. 24:334-341 |
| ISSN: | 1448-0271 0310-057X |
| DOI: | 10.1177/0310057x9602400306 |
| Popis: | The arterial blood gas chemistry was measured continuously in ten patients during primary cemented total hip replacement in order to define more precisely the patterns of changes in blood gases during various stages of the operation. All ten patients demonstrated significant drops in PaO2 after femoral cement implantation and nine of the ten after acetabular cement implanation. The mean drop in PaO2 following acetabular cement expressed as mean ± SD was 18±8 mmHg (16±6%) (PaO2 there were corresponding drops in SpO2 in all patients with the femoral cement and in eight patients with the acetabular cement. The mean drop in SpO2 following the application of acetabular and femoral cements respectively were 1.7±1.5% and 3±2.45%. No changes in blood PaO2 were observed during dislocation of the hip joint or reaming of acetabulum and femur. In vitro studies revealed no effect of the liquid monomer or the cured cement on the performance of the Clark electrode of the sensor. We suggest that significant drops in PaO2 occur with both acetabular and femoral cement implantation and that the derangements in blood PaO2 last longer than detected by pulse oximetry following cement implantation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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