咽頭手術での経皮炭酸ガスモニタの有用性 Transcutaneous Carbon Dioxide Measurement in Patients Undergoing Laryngosurgery

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To investigate the accuracy and usefulness of combined transcutaneous carbon dioxide (PtcCO<sub>2</sub>) and oxygen (PtcO<sub>2</sub>) measurement compared with arterial blood gas analysis (PaCO<sub>2</sub> and PaO<sub>2</sub>), 10 patients undergoing laryngomicrosurgery under total intravenous anesthesia were studied. The PtcCO<sub>2</sub> values revealed a high degree of correlation with PaCO<sub>2</sub> during anesthesia (r=0.96) and after anesthesia (r=0.93). The PaO<sub>2</sub> values revealed a generally good correlation with PaO<sub>2</sub> during anesthesia (r=0.81), but not after anesthesia (r=0.23). Capnography values are invalid after anesthesia, and an arterial catheter is not always indicated and feasible in microlaryngoscopy. Transcutaneous devices provide an effective method for the non-invasive monitoring of PCO<sub>2</sub> during and after anesthesia, in situations whereas continuous, precise control of CO<sub>2</sub> levels is desired such as laryngomicrosurgery.

収録刊行物

  • 耳鼻咽喉科臨床

    耳鼻咽喉科臨床 94(9), 825-828, 2001-09-01

    The Society of Practical Otolaryngology

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各種コード

  • NII論文ID(NAID)
    10008097599
  • NII書誌ID(NCID)
    AN00107089
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00326313
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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