ABB  Vol.3 No.7 , November 2012
Continuous transcutaneous monitoring of peripheral oxygen and carbon dioxide during infant cardiac surgery
ABSTRACT
Close monitoring of the balance between oxygen demand and supply is of great importance during cardiac cardiopulmonary bypass (CPB) surgery. This study was to compare conventional intermittent venous blood gas monitoring with continuous transcutaneous oxygen and carbon dioxide monitoring in infant patients undergoing cardiac surgery with CPB. According to paired data from 29 infant patients undergoing cardiac surgery we found that a positive correlation existed between the two techniques, with a correlation coefficient 0.9021 and 0.8021 for PO2 and PCO2 respectively. It’s concluded that transcutaneous monitoring and intermittent venous blood sampling had good correlation and transcutaneous monitoring may be used conveniently and safely clinically during CPB.

Cite this paper
Zhou, H. , Xiong, H. , Gu, C. , Chen, T. , Zhu, H. and Sun, G. (2012) Continuous transcutaneous monitoring of peripheral oxygen and carbon dioxide during infant cardiac surgery. Advances in Bioscience and Biotechnology, 3, 824-827. doi: 10.4236/abb.2012.37102.
References
[1]   McIntyre, J. and Hull, D. (1996) Metabolic rate in febrile infants. Archives of Disease in Childhood, 74, 206-209. Hdoi:10.1136/adc.74.3.206

[2]   Wells, J.C. (1998) Energy metabolism in infants and children. Nutrition, 14, 817-820. Hdoi:10.1016/S0899-9007(98)00092-6

[3]   Mitchell, I.M., Davies, P.S., Day, J.M., Pollock, J.C. and Jamieson, M.P. (1994) Energy expenditure in children with congenital heart disease, before and after cardiac surgery. The Journal of Thoracic and Cardiovascular Surgery, 107, 374-380.

[4]   Siegemund, M., van Bommel, J. and Ince, C. (1999) Assessment of regional tissue oxygenation. Intensive Care Medicine, 25, 1044-1060. Hdoi:10.1007/s001340051011

[5]   Lima, A.P., Beelen, P. and Bakker J. (2002) Use of a peripheral perfusion index derived from the pulse oximetry signal as a noninvasive indicator of perfusion. Critical Care Medicine, 30, 1210-1213. Hdoi:10.1097/00003246-200206000-00006

[6]   Warren, J.B. (1994) Nitric oxide and human skin blood flow responses to cetylcholine and ultraviolet light. The FASEB Journal, 8, 247-251.

[7]   Joachimsson, P.O., Sjoberg, F., Forsman, M., Johansson, M., Ahn, H.C. and Rutberg H. (1996) Adverse effects of hyperoxemia during cardiopulmonary bypass. The Journal of Thoracic and Cardiovascular Surgery, 112, 812-819. Hdoi:10.1016/S0022-5223(96)70069-7

[8]   Bakker, J., Coffernils, M., Leon, M., Gris, P. and Vincent, J.L. (1991) Blood lactate levels are superior to oxygen-derived variables in predicting outcome in human septic shock. Chest, 99, 956-962. Hdoi:10.1378/chest.99.4.956

[9]   De Backer, D., Creteur, J., Preiser, J.C., Dubois, M.J. and Vincent, J.L. (2002) Microvascular blood flow is altered in patients with sepsis. American Journal of Respiratory and Critical Care Medicine, 166, 98-104. Hdoi:10.1164/rccm.200109-016OC

[10]   Rady, M.Y., Rivers, E.P. and Nowak, R.M. (1996) Resuscitation of the critically ill in the ED: Responses of blood pressure, heart rate, shock index, central venous oxygen saturation, and lactate. American Journal of Emergency Medicine, 14, 218-225. Hdoi:10.1016/S0735-6757(96)90136-9

[11]   Lima, A. and Bakker, J. (2005) Noninvasive monitoring of peripheral perfusion. Intensive Care Medicine, 31, 1316-1326. Hdoi:10.1007/s00134-005-2790-2

[12]   Hasibeder, W., Haisjackl, M., Sparr, H., Klaunzer, S., Horman, C., Salak, N., Germann, R., Stronegger, W.J. and Hackl, J.M. (1991) Factors influencing transcutaneous oxygen and carbon dioxide measurements in adult intensive care patients. Intensive Care Medicine, 17, 272-275. Hdoi:10.1007/BF01713936

[13]   Reed, R.L., Maier, R.V., Landicho, D., Kenny, M.A. and Carrico, C.J. (1985) Correlation of hemodynamic variables with transcutaneous PO2 measurements in critically ill adult patients. The Journal of Trauma, 25, 1045-1053.

[14]   Shoemaker, W.C., Wo, C.C., Bishop, M.H., Thangathurai, D. and Patil, R.S. (1996) Noninvasive hemodynamic monitoring of critical patients in the emergency department. Academic Emergency Medicine, 3, 675-681. Hdoi:10.1111/j.1553-2712.1996.tb03489.x

[15]   Tremper, K.K. and Barker, S.J. (1987) Transcutaneous oxygen measurement: Experimental studies and adult applications. International Anesthesiology Clinics, 25, 67-96. Hdoi:10.1097/00004311-198702530-00006

[16]   Nevin, M., Colchester, A.C., Adams, S. and Pepper, J.R. (1987) Evidence for involvement of hypocapnia and hypoperfusion in aetiology of neurological deficit after cardiopulmonary bypass. Lancet, 2, 1493-1495. Hdoi:10.1016/S0140-6736(87)92624-9

[17]   Musat, A., Ouardirhi, Y. and Marty, J.C. (2004) Significance of continuous blood gas monitoring in cardiac surgery with cardiopulmonary bypass. European Journal of Anaesthesiology, 21, 980-981.

[18]   Jakob, S.M., Ruokonen, E. and Takala, J. (2000) Assessment of the adequacy of systemic and regional perfusion after cardiac surgery. British Journal of Anaesthesia, 84, 571-577. Hdoi:10.1093/bja/84.5.571

[19]   Dawson, S., Cave, C. and Pavord, I. (1998) Transcutaneous monitoring of blood gases: is it comparable with arterialized earlobe sampling? Respiratory Medicine, 92, 584-587. Hdoi:10.1016/S0954-6111(98)90313-4

[20]   Tatevossian, R.G., Wo, C.C., Velmahos, G.C., HDemetriades, DH. and HShoemaker, W.CH. (2000) Transcutaneous oxygen and CO2 as early warning of tissue hypoxia and hemodynamic shock in critically ill emergency patients. Critical Care Medicine, 28, 2248-2253. Hdoi:10.1097/00003246-200007000-00011

 
 
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