Does End-tidal PCO2 Reflect Adequately Arterial PCO2 during One-lung Ventilation for Thoracoscopy? / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 466-471, 1996.
Article
in Korean
| WPRIM
| ID: wpr-200896
ABSTRACT
BACKGROUND:
Maintenance of normal arterial carbon dioxide tension (PaCO2) is not generally a problem if the same tidal volume can be maintained when changing from two-lung(TLV) to one-lung ventilation(OLV). However, there have been a few studies on the use of capnography in monitoring the adequacy of ventilation during one-lung anesthesia. We have therefore studied how closely end-tidal PCO2 (PETCO2) values reflect changes in PaCO2 in patients undergoing thoracoscopic sympathectomy during TLV and after transition to OLV.METHODS:
We have measured arterial oxygen tension(PaO2), PaCO2, PETCO2, and (PaCO2-PETCO2) in 24 adult, either sex, patients by infra-red spectrometry. They were measured after induction of anesthesia, in supine position(TLVsup), after a lateral decubitus position(TLVlat), at 15 minutes after left OLV(OLVLt), after right OLV(OLVRt), and at 10 minutes in the supine position re-positioned at the end of the operation(TLVrep). Data were analyzed with a one-way analysis of variance with repeated measures followed by multiple comparision. The correlation between PaCO2 and PETCO2 were tested using linear regression.RESULTS:
PaCO2 did not significantly change, whereas PETCO2 significantly decreased at OLVLt, OLVRt compared with TLVsup value (OLVLt, 29.7 mmHg OLVRt, 30.5 mmHg and TLVsup, 33.6 mmHg; P0.65, P<0.0006)CONCLUSIONS:
In the patients undergoing thoracoscopic sympathectomy with TLV or OLV in the lateral decubitus position, PETCO2 is a reliable estimate of the PaCO2. However, when the operative time is prolonged the arterial PCO2 may be more reliable than PETCO2.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Oxygen
/
Spectrum Analysis
/
Sympathectomy
/
Thoracoscopy
/
Ventilation
/
Carbon Dioxide
/
Linear Models
/
Tidal Volume
/
Supine Position
/
Capnography
Limits:
Adult
/
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
1996
Type:
Article
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