The value of end-tidal carbon dioxide monitoring during systemic-to-pulmonary artery shunt insertion in cyanotic children
| Autor: | Emre Camci, Mehmet Tugrul, Kamil Pembeci, Zerrin Sungur |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Male
Pulmonary Circulation congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Palliative care medicine.medical_treatment Subclavian Artery Hemodynamics Pulmonary Artery Statistics Nonparametric Blood Vessel Prosthesis Implantation Predictive Value of Tests Monitoring Intraoperative Internal medicine medicine.artery Tidal Volume medicine Humans Prospective Studies Thoracotomy Subclavian artery Tetralogy of Fallot business.industry Cardiovascular Surgical Procedures Palliative Care Infant Carbon Dioxide medicine.disease Oxygen Treatment Outcome Anesthesiology and Pain Medicine Child Preschool Anesthesia Pulmonary artery Cardiology Arterial blood Female Blood Gas Analysis Cardiology and Cardiovascular Medicine business Shunt (electrical) |
| Zdroj: | Journal of Cardiothoracic and Vascular Anesthesia. 18:152-155 |
| ISSN: | 1053-0770 |
| DOI: | 10.1053/j.jvca.2004.01.019 |
| Popis: | To investigate the relationship between end-tidal carbon dioxide levels and augmentation of pulmonary blood flow achieved by insertion of systemic-pulmonary shunts.Prospective clinical study.University hospital.Nineteen cyanotic children with tetralogy of Fallot.Modified Blalock-Taussig shunt operations were performed on the left side in 14 patients and on the right side in 5 patients.End-tidal carbon dioxide tension was recorded, and an arterial blood gas sample was obtained simultaneously after thoracotomy (T0) and after completion of systemic-pulmonary shunt (T1). End-tidal carbon dioxide tension was significantly higher ( p0.01), and arterial to end-tidal carbon dioxide tension difference was significantly lower (p0.01) at T1 when compared with T0. The increase in end-tidal carbon dioxide showed a statistically significant correlation with the response of arterial oxygen saturation (r = 0.61, p0.01). The fall in arterial to end-tidal carbon dioxide tension difference correlated inversely with the change of oxygen saturation (r = -0.81, p0.0001).It is concluded that end-tidal carbon dioxide tension alterations offer an alternative intraoperative tool to monitor pulmonary blood flow during modified Blalock-Taussig shunt procedures. |
| Databáze: | OpenAIRE |
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