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Anesth Analg 1981; 60:504-507
© 1981 International Anesthesia Research Society
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Relationship between Transcutaneous and Arterial Carbon Dioxide Tension in Adult Patients Anesthetized with Nitrous Oxide-Fentanyl and Nitrous Oxide-Enflurane

Terence D. Rafferty, MD*, Osvaldo Marrero, PhD, MPH{dagger}, Dominic Nardi, MD*, E. Neil Schachter, MD{ddagger}, Richard Mentelos, BS§, Alison Hastings||, and Dante Roselli||

*Associate Professor, Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut. {dagger}Postdoctoral Research Fellow, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut. {ddagger}Associate Professor, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut. §Research Engineer, Departments of Anesthesiology, Medicine, Epidemiology and Public Health, and Surgery, Yale University School of Medicine, New Haven, Connecticut. ||Clinical Perfusionist, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.

Abstract

The transcutaneous technique of measuring carbon dioxide tension (tcPCO2) was studied in 30 adult neurosurgery patients undergoing nitrous oxide-enflurane or nitrous oxide-fentanyl anesthesia to determine the relationship between tcPCO2 and PaCO2 tcPCO2 was an accurate (r = 0.9) and clinically useful trend indicator of PaCO2. The ability to detect trends was unaffected by the type of anesthetic agent used. The technique was less useful in predicting absolute values for PaCO2 (r = 0.64). This technique may be particularly useful in situations in which control of PaCO2 is essential to patient management.

Key Words: CARBON DIOXIDE: tension, transcutaneous • MEASUREMENT TECHNIQUES: gas tensions, transcutaneous




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M. Oshibuchi, S. Cho, T. Hara, S. Tomiyasu, T. Makita, and K. Sumikawa
A Comparative Evaluation of Transcutaneous and End-Tidal Measurements of CO2 in Thoracic Anesthesia
Anesth. Analg., September 1, 2003; 97(3): 776 - 779.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1981 by the International Anesthesia Research Society.