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呼气末二氧化碳监测在预测门诊口腔手术中镇静患者静脉血二氧化碳分压方面的效用。

Utility of capnography in predicting venous carbon dioxide partial pressure in sedated patients during outpatient oral surgery.

作者信息

Prstojevich S J, Sabol S R, Goldwasser M S, Johnson C

机构信息

Department of Oral and Maxillofacial Surgery, Carle Foundation Hospital, Urbana, IL 61801.

出版信息

J Oral Maxillofac Surg. 1992 Jan;50(1):37-9; discussion 40. doi: 10.1016/0278-2391(92)90192-3.

Abstract

Twelve ASA class I patients scheduled for removal of third molars under intravenous sedation were included in the study. Samples for venous blood gas analysis were drawn every 5 minutes and the venous partial pressure of carbon dioxide was compared to the end-tidal CO2 recorded from a modified nasal cannula at the same time the samples were drawn. Correlation analysis was performed using the Pearson correlation coefficient. The overall correlation between end-tidal CO2 and PVCO2 was .54 (P = .0001). The results of the investigation indicate that through simple modifications of the end-tidal CO2 monitoring device, the correlation between end-tidal CO2 and serum PCO2 in a nonintubated patient can be improved.

摘要

十二名计划在静脉镇静下拔除第三磨牙的ASA I级患者被纳入该研究。每5分钟采集静脉血气分析样本,并将静脉二氧化碳分压与在采集样本的同时从改良鼻导管记录的呼气末二氧化碳进行比较。使用Pearson相关系数进行相关性分析。呼气末二氧化碳与静脉血二氧化碳分压之间的总体相关性为0.54(P = 0.0001)。调查结果表明,通过对呼气末二氧化碳监测设备进行简单改良,可以提高非插管患者呼气末二氧化碳与血清二氧化碳分压之间的相关性。

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