Cortambert F, Gay C, Putet G
Service de Pathologie et de Réanimation néo-natales, Hôpital Edouard-Herriot, Lyon, France.
Pediatrie. 1987;42(5):407-9.
In 2 very low birth weight infants, a Nelcor 100 pulse oximeter was used during surgery. These 2 babies were anesthetized during the first 3 weeks of life, one for patent ductus arteriosus ligation and the other for ventriculo-peritoneal derivation. SaO2 was maintained between 85-95% in the straight portion of hemoglobin dissociation curves, where PaO2 values are from 7 to 10 KPal. During anesthesia, FiO2 was kept between 21 and 30%. Oximeters which have a fast response time seem to be a useful tool for monitoring blood oxygenation when it is difficult to estimate normoxia but very important to avoid hypoxia or over-oxygenation.
在2例极低出生体重儿的手术过程中使用了Nellcor 100脉搏血氧仪。这2例婴儿在出生后的前3周内接受麻醉,其中1例进行动脉导管未闭结扎术,另1例进行脑室-腹腔分流术。在血红蛋白解离曲线的直线部分,将血氧饱和度(SaO2)维持在85%至95%之间,此时动脉血氧分压(PaO2)值为7至10千帕。麻醉期间,吸入氧浓度(FiO2)保持在21%至30%之间。当难以估计正常氧合状态但避免低氧或氧合过度非常重要时,具有快速响应时间的血氧仪似乎是监测血液氧合的有用工具。