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电灼导致换能器偏移,从而使血压测量结果出现误差。

Transducer offset by electrocautery resulting in erroneous blood pressure measurement.

作者信息

Milne B, Cervenko F W, Henderson M B, Westra P J

出版信息

Can Anaesth Soc J. 1986 Mar;33(2):234-6. doi: 10.1007/BF03010838.

DOI:10.1007/BF03010838
PMID:3486030
Abstract

During a coronary artery bypass operation arterial blood pressure measured with a Bentley Trantec model 800 transducer increased erroneously while continuous electrocautery was being used. This phenomenon has recurred infrequently, with fictitious hypotension being observed in one patient. To reproduce the problem of pressure offset during electrosurgery a bench test demonstrated that with peak to peak voltage of 20 volts from the electrosurgical unit, three of seven Bentley transducers had offsets as much as +/- 50 mmHg. It is important for anaesthetists to determine if electrosurgery units are functioning before treating apparent pressure drifts.

摘要

在冠状动脉搭桥手术期间,使用Bentley Trantec 800型传感器测量动脉血压时,在使用连续电灼术期间血压出现错误升高。这种现象偶尔会再次出现,有一名患者出现了假性低血压。为了重现电外科手术期间压力偏移的问题,一项台架试验表明,当电外科设备的峰峰值电压为20伏时,七台Bentley传感器中有三台的偏移量高达±50 mmHg。麻醉医生在处理明显的压力漂移之前,确定电外科设备是否正常工作非常重要。

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本文引用的文献

1
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Va Med. 1980 Apr;107(4):296-7.
2
Electrocautery and pacemaker reprogramming.电灼术与起搏器重新编程。
Anesth Analg. 1984 May;63(5):541-2.
3
Ventricular fibrillation associated with use of electrocautery. A case report.与电灼术使用相关的心室颤动。一例报告。
JAMA. 1974 Oct 21;230(3):432-5.
4
Cardiac pacemaker induced ventricular fibrillation during surgical diathermy.手术电灼期间心脏起搏器诱发心室颤动。
Anaesth Intensive Care. 1975 Nov;3(4):321-6. doi: 10.1177/0310057X7500300407.
5
Effect of coagulating and cutting current on a demand pacemaker during transurethral resection of the prostate. A case report.经尿道前列腺切除术期间凝固和切割电流对按需起搏器的影响。病例报告。
Can Anaesth Soc J. 1978 Jan;25(1):65-6. doi: 10.1007/BF03006788.