caa a22 4500 465825613 CHVBK 20180323112148.0 cr unu---uuuuu 170327e19900101xx s 000 0 eng 10.1007/BF02832181 doi (NATIONALLICENCE)springer-10.1007/BF02832181 Detection of venous air embolism by continuous intraarterial oxygen monitoring [Elektronische Daten] [Garth Greenblott, Steven Barker, Kevin Tremper, Steven Gerschultz, John Gehrich] In a recent study, we compared a new intraarterial fiberoptic "optode” probe to continuously measure arterial oxygen and carbon dioxide tensions and pH with intermittently drawn blood samples in patients undergoing surgery. In one patient with a diagnosis of Arnold-Chiari type I malformation with outflow obstruction of the fourth ventricle, a major pulmonary air embolism occurred while the patient was undergoing suboccipital craniectomy and cervical laminectomy in the prone position. Three hours after the incision the optode-displayed oxygen tension decreased from a stable value of 225 ±8 mm Hg to 63 mm Hg over a 10-minute period. During the same interval, carbon dioxide tension increased and end-tidal carbon dioxide decreased; shortly thereafter, transcutaneous oxygen tension decreased also. Within 20 minutes after the inspired gas mixture was changed to 100% oxygen, the patient's respiratory variables returned to near baseline. No further complications ensued. This is the first time continuously monitored arterial oxygen tension values during a pulmonary embolism have been reported. With further refinement, intraarterial optode probes will add another valuable method of detecting pulmonary air embolism. Little, Brown and Company, 1990 Complications: air embolism nationallicence Equipment: optodes nationallicence Monitoring: carbon dioxide nationallicence oxygen nationallicence Greenblott Garth Department of Anesthesiology, University of California, Irvine Medical Center, 101 City Dr S, Route 81A, 92668, Orange, CA aut Barker Steven Department of Anesthesiology, University of California, Irvine Medical Center, 101 City Dr S, Route 81A, 92668, Orange, CA aut Tremper Kevin Department of Anesthesiology, University of California, Irvine Medical Center, 101 City Dr S, Route 81A, 92668, Orange, CA aut Gerschultz Steven Department of Anesthesiology, University of California, Irvine Medical Center, 101 City Dr S, Route 81A, 92668, Orange, CA aut Gehrich John Cardiovascular Devices, Inc, 92714, Irvine, CA aut Journal of Clinical Monitoring Springer Netherlands 6/1(1990-01-01), 53-56 0748-1977 6:1<53 1990 6 10877 https://doi.org/10.1007/BF02832181 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02832181 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Greenblott Garth Department of Anesthesiology, University of California, Irvine Medical Center, 101 City Dr S, Route 81A, 92668, Orange, CA aut NATIONALLICENCE 700 1- Barker Steven Department of Anesthesiology, University of California, Irvine Medical Center, 101 City Dr S, Route 81A, 92668, Orange, CA aut NATIONALLICENCE 700 1- Tremper Kevin Department of Anesthesiology, University of California, Irvine Medical Center, 101 City Dr S, Route 81A, 92668, Orange, CA aut NATIONALLICENCE 700 1- Gerschultz Steven Department of Anesthesiology, University of California, Irvine Medical Center, 101 City Dr S, Route 81A, 92668, Orange, CA aut NATIONALLICENCE 700 1- Gehrich John Cardiovascular Devices, Inc, 92714, Irvine, CA aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring Springer Netherlands 6/1(1990-01-01), 53-56 0748-1977 6:1<53 1990 6 10877 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer