caa a22 4500 605509727 CHVBK 20210128100642.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10877-014-9587-1 doi (NATIONALLICENCE)springer-10.1007/s10877-014-9587-1 Carbon dioxide monitoring during laparoscopic-assisted bariatric surgery in severely obese patients: transcutaneous versus end-tidal techniques [Elektronische Daten] [Joanna Dion, Chris McKee, Joseph Tobias, Daniel Herz, Paul Sohner, Steven Teich, Marc Michalsky] 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. Springer Science+Business Media New York, 2014 Adolescent nationallicence Physiologic monitoring: transcutaneous CO2 monitoring nationallicence Obesity nationallicence Laparoscopy nationallicence Bariatric surgery nationallicence Dion Joanna Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA aut McKee Chris Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA aut Tobias Joseph Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA aut Herz Daniel Department of Urology, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA aut Sohner Paul Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA aut Teich Steven Department of Surgery, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA aut Michalsky Marc Department of Surgery, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/1(2015-02-01), 183-186 1387-1307 29:1<183 2015 29 10877 https://doi.org/10.1007/s10877-014-9587-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-014-9587-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dion Joanna Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA aut NATIONALLICENCE 700 1- McKee Chris Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA aut NATIONALLICENCE 700 1- Tobias Joseph Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA aut NATIONALLICENCE 700 1- Herz Daniel Department of Urology, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA aut NATIONALLICENCE 700 1- Sohner Paul Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Ohio State University, 700 Children's Drive, 43205, Columbus, OH, USA aut NATIONALLICENCE 700 1- Teich Steven Department of Surgery, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA aut NATIONALLICENCE 700 1- Michalsky Marc Department of Surgery, Nationwide Children's Hospital, Ohio State University, Columbus, OH, USA aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/1(2015-02-01), 183-186 1387-1307 29:1<183 2015 29 10877