Wambo Simo M, Binam F, Simo Moyo J, Adnet P
Département Anesthésie-Réanimation, CUSS Yaoundé, Cameroun.
Cah Anesthesiol. 1993;41(2):135-8.
The aim of this study was to detect per-operative venous gas embolism in neurosurgery using capnography coupled to the Swan-Ganz catheter method. Using both methods, our study, carried out on seven patients operated in the sitting position, showed an occurrence of air embolism in four cases. The diagnosis of air embolism was made on a rapid and progressive drop of FECO2 with, at the same time, a rise of the pulmonary arterial pressure.
本研究的目的是使用与Swan-Ganz导管法相结合的二氧化碳描记法来检测神经外科手术中的术中静脉气体栓塞。我们对7例采用坐位手术的患者进行的研究,同时使用这两种方法,结果显示有4例发生了空气栓塞。空气栓塞的诊断依据是呼气末二氧化碳分压(FECO2)迅速且进行性下降,同时肺动脉压升高。