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Chapter-15 Transcutaneous Gas Monitoring

BOOK TITLE: Monitoring in Anesthesia and Critical Care

Author
1. Ismail Samina
2. Hashmi Madiha
ISBN
9789352700431
DOI
10.5005/jp/books/18044_16
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Aga Khan University, Karachi, Sind, Pakistan
2. Aga Khan University, Karachi, Sind, Pakistan, Aga Khan University, Karachi, Pakistan
Chapter keywords
Transcutaneous gas monitoring, arterial blood gas, ABG, end-tidal carbon dioxide, ET-CO2, lung function measurement, gastric bypass surgery, apnea testing

Abstract

This chapter basically talks about the transcutaneous gas monitoring but history, description, clinical applications of transcutaneous monitoring, guidelines on transcutaneous blood gas monitoring for neonatal and pediatric patients, limitations/disadvantages of transcutaneous monitoring are also discussed. Transcutaneous monitoring has shown to be an effective means of continuous monitoring in critical care setting, especially, for neonates and pediatric patient. It has shown to be effective compared to end-tidal carbon dioxide (ET-CO2) in patients with right to left shunting and ventilation perfusion incompatibility. It has shown to be more effective than ET-CO2 in intraoperative setting in neurosurgical patients, gastric bypass surgeries and one-lung ventilation. It can be utilized for apnea testing, gauging effect of treatment in metabolic acidosis and in assessing the severity of peripheral vascular disease. Despite its efficacy, it cannot replace ET-CO2 monitoring especially in intraoperative settings.

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