JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

Anesth Analg 1981; 60:508-512
© 1981 International Anesthesia Research Society
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Whitesell, R.
Right arrow Articles by Jablonski, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Whitesell, R.
Right arrow Articles by Jablonski, J.

Relationship between Arterial and Peak Expired Carbon Dioxide Pressure during Anesthesia and Factors Influencing the Difference

Robert Whitesell, MD*, Caridad Asiddao, MD*, Daniel Gollman, MD{dagger}, and James Jablonski, BS{ddagger}

*Assistant Professor, Department of Anesthesia, Medical College of Wisconsin, 8700 West Wisconsin Avenue, Milwaukee, Wisconsin 53226. {dagger}Anesthesia Resident, Department of Anesthesia, Medical College of Wisconsin, 8700 West Wisconsin Avenue, Milwaukee, Wisconsin 53226. {ddagger}Clinical Engineer, Department of Anesthesia, Medical College of Wisconsin, 8700 West Wisconsin Avenue, Milwaukee, Wisconsin 53226.

Abstract

To determine how closely peak expired PCO2 measured by mass spectrometry reflects arterial PCO2 during anesthesia and what variables contribute to a difference between the two measurements, peak expired CO2, arterial PCO2, and other physiologic variables were measured simultaneously. There was a significant correlation between peak expired and arterial PCO2 (P < 0.001). The difference between temperature-corrected arterial and peak expired PCO2 was related to the presence or absence of lung disease, age, A.S.A. class, and systolic blood pressure. No significant relationship was seen between the temperature-corrected difference and duration of anesthesia, diastolic pressure, expired O2 concentration, or anesthetic agent. Mean temperature-corrected arterial PCO2 exceeded mean peak expired PCO2 by 1.7 torr in all patients, 0.8 torr in patients without lung disease, and 3.3 torr in patients with lung disease. In patients in whom more than one arterial sample was obtained, initial differences correlated significantly with subsequent differences (p < 0.001).

Key Words: CARBON DIOXIDE: arterial-alveolar gradients




This article has been cited by other articles:


Home page
 J. Appl. Physiol.Home page
R. Sparing, M. Dafotakis, D. Buelte, I. G. Meister, and J. Noth
Excitability of human motor and visual cortex before, during, and after hyperventilation
J Appl Physiol, January 1, 2007; 102(1): 406 - 411.
[Abstract] [Full Text] [PDF]

Home page
 J Intensive Care MedHome page
S. C. Hillier and M. S. Schamberger
Transcutaneous and End-Tidal Carbon Dioxide Analysis: Complimentary Monitoring Strategies
J Intensive Care Med, September 1, 2005; 20(5): 307 - 309.
[PDF]

Home page
 Emerg. Med. J.Home page
C Yosefy, E Hay, Y Nasri, E Magen, and L Reisin
End tidal carbon dioxide as a predictor of the arterial PCO2 in the emergency department setting
Emerg. Med. J., September 1, 2004; 21(5): 557 - 559.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
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]

Home page
 Br J AnaesthHome page
M. Helm, R. Schuster, J. Hauke, and L. Lampl
Tight control of prehospital ventilation by capnography in major trauma victims
Br. J. Anaesth., March 1, 2003; 90(3): 327 - 332.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
J. D. Tobias, W. R. Wilson Jr., and D. J. Meyer
Transcutaneous Monitoring of Carbon Dioxide Tension After Cardiothoracic Surgery in Infants and Children
Anesth. Analg., March 1, 1999; 88(3): 531 - 531.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
J. D. Tobias and A. Kavanaugh-McHugh
Oximetry and Capnography During Sedation For Transesophageal Echocardiography
Clinical Pediatrics, October 1, 1995; 34(10): 565 - 566.
[PDF]

Home page
 PerfusionHome page
J. Aittomaki
Monitoring of CO2 exchange during cardiopulmonary bypass: the effect of oxygenator design on the applicability of capnometry
Perfusion, July 1, 1993; 8(4): 337 - 344.
[Abstract] [PDF]

Home page
 J Intensive Care MedHome page
T. F. Morley
Capnography in the Intensive Care Unit
J Intensive Care Med, September 1, 1990; 5(5): 209 - 223.
[Abstract] [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.