Relationship between end-tidal pressure of CO2,transcutaneous partial pressure of CO2 and arterial par-tial pressure of CO2 in pediatric patients with congenital heart disease
- VernacularTitle:先天性心脏病患儿 PET CO 2、TcPCO 2与 PaCO 2监测的相关性
- Author:
Hongqiang HUANG
;
Junlin WANG
;
Li ZHOU
;
Jian FEI
;
Meimin QU
;
Li ZHANG
- Publication Type:Journal Article
- Keywords:
Congenital heart disease;
End-tida1 carbon dioxide pressure;
Transcutaneous carbon dioxide pressure;
Arterial carbon dioxide pressure;
Relevance
- From:
The Journal of Clinical Anesthesiology
2016;32(9):877-880
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the relevance of PET CO 2 ,TcPCO 2 and PaCO 2 in pediatric patients with congenital heart disease.Methods Eighty pediatric patients with congenital heart disease were scheduled for elective cardiac operation with cardiopulmonary bypass,aged 1 month to 5 years, 42 male and 38 female,were divided into 4 groups:group N1,cyanotic type congenital heart disease with severe pulmonary hypertension;group N2,cyanotic type congenital heart disease without pul-monary hypertension;group N3,non-cyanotic congenital heart disease with severe pulmonary hyper-tension;group N4,non-cyanotic congenital heart disease with mild pulmonary hypertension or normal of pulmonary artery pressure,20 cases in each group.The same anesthesia methods were selected in each group.PET CO 2 ,TcPCO 2 and PaCO 2 before operation were recorded,and the relevance among them was analyzed.Results In groups N1,N2 and N3,the differences of PET CO 2 and PaCO 2 were significant,,while the difference was relatively small in group N4;the difference of TcPCO 2 and PaCO 2 were relatively small between the four groups.In Groups N1,N2 and N3,the values of TcP-CO 2-PaCO 2 value were significantly less than that of PET CO 2-PaCO 2 ;in group N4,TcPCO 2-PaCO 2 value was obviously higher than that of PET CO 2-PaCO 2 values (P < 0.01 ).Correlation analysis of PET CO 2 and PaCO 2 showed that R2 in the groups N1,N2,N3,N4 were 0.028,0.1 97,0.390, 0.71 1(P >0.05,0.02
