Carbon dioxide monitoring during laparoscopic-assisted bariatric surgery in severely obese patients: transcutaneous versus end-tidal techniques

Verfasser / Beitragende:
[Joanna Dion, Chris McKee, Joseph Tobias, Daniel Herz, Paul Sohner, Steven Teich, Marc Michalsky]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Clinical Monitoring and Computing, 29/1(2015-02-01), 183-186
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10877-014-9587-1  |2 doi 
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245 0 0 |a Carbon dioxide monitoring during laparoscopic-assisted bariatric surgery in severely obese patients: transcutaneous versus end-tidal techniques  |h [Elektronische Daten]  |c [Joanna Dion, Chris McKee, Joseph Tobias, Daniel Herz, Paul Sohner, Steven Teich, Marc Michalsky] 
520 3 |a Various factors including severe obesity or increases in intra-abdominal pressure during laparoscopy can lead to inaccuracies in end‐tidal carbon dioxide (PETCO2) monitoring. The current study prospectively compares ET and transcutaneous (TC) CO2 monitoring in severely obese adolescents and young adults during laparoscopic-assisted bariatric surgery. Carbon dioxide was measured with both ET and TC devices during insufflation and laparoscopic bariatric surgery. The differences between each measure (PETCO2 and TC‐CO2) and the PaCO2 were compared using a non‐paired t test, Fisher's exact test, and a Bland-Altman analysis. The study cohort included 25 adolescents with a mean body mass index of 50.2kg/m2 undergoing laparoscopic bariatric surgery. There was no difference in the absolute difference between the TC‐CO2 and PaCO2 (3.2±3.0mmHg) and the absolute difference between the PETCO2 and PaCO2 (3.7±2.5mmHg). The bias and precision were 0.3 and 4.3mmHg for TC monitoring versus PaCO2 and 3.2 and 3.2mmHg for ET monitoring versus PaCO2. In the young severely obese population both TC and PETCO2 monitoring can be used to effectively estimate PaCO2. The correlation of PaCO2 to TC-CO2 is good, and similar to the correlation of PaCO2 to PETCO2. In this population, both of these non-invasive measures of PaCO2 can be used to monitor ventilation and minimize arterial blood gas sampling. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Adolescent  |2 nationallicence 
690 7 |a Physiologic monitoring: transcutaneous CO2 monitoring  |2 nationallicence 
690 7 |a Obesity  |2 nationallicence 
690 7 |a Laparoscopy  |2 nationallicence 
690 7 |a Bariatric surgery  |2 nationallicence 
700 1 |a Dion  |D Joanna  |u Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA  |4 aut 
700 1 |a McKee  |D Chris  |u Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA  |4 aut 
700 1 |a Tobias  |D Joseph  |u Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA  |4 aut 
700 1 |a Herz  |D Daniel  |u Department of Urology, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA  |4 aut 
700 1 |a Sohner  |D Paul  |u Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA  |4 aut 
700 1 |a Teich  |D Steven  |u Department of Surgery, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA  |4 aut 
700 1 |a Michalsky  |D Marc  |u Department of Surgery, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA  |4 aut 
773 0 |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/1(2015-02-01), 183-186  |x 1387-1307  |q 29:1<183  |1 2015  |2 29  |o 10877 
856 4 0 |u https://doi.org/10.1007/s10877-014-9587-1  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10877-014-9587-1  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dion  |D Joanna  |u Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a McKee  |D Chris  |u Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tobias  |D Joseph  |u Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Herz  |D Daniel  |u Department of Urology, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sohner  |D Paul  |u Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Teich  |D Steven  |u Department of Surgery, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Michalsky  |D Marc  |u Department of Surgery, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Clinical Monitoring and Computing  |d Springer Netherlands  |g 29/1(2015-02-01), 183-186  |x 1387-1307  |q 29:1<183  |1 2015  |2 29  |o 10877