[Airway pressure and transcutaneous O2 and CO2 partial pressure as monitoring measurements for high-frequency jet ventilation?].
Two different methods of measuring airway pressures (n = 7), and the usefulness of transcutaneous pO2 and pCO2 measurement (n = 9) in monitoring High Frequency Jet Ventilation (HFJV), were investigated in critically ill patients. Airway pressures obtained by tip manometer from different points within trachea and mainstem bronchi during HFJV (f = 100/min, inspiratory time 40%, FIO2 0,4, minute volume 25.6 +/- 5.2 l) were nearly identical with pressures obtained from the integrated pressure line of HI-LO-JET endotracheal tubes (R = 0.9638). There was no difference between proximal and peripheral airway pressures. When using a PEEP-valve, rather high values of PEEP may occur due to gas trapping. There was sufficient correlation between transcutaneous and arterial pO2 (R = 0.7573) and poor correlation between transcutaneous and arterial pCO2 (R = 0.4987). paO2 values were 51.1% above, paCO2 values 33.4% below transcutaneous values. Transcutaneous measurement of pO2 and pCO2 is only an additional method in monitoring HFJV which can reveal rough trends but cannot replace blood gas analysis.
D000328:Adult; D002245:Carbon Dioxide / Q000097:blood*; D003422:Critical Care; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood*; D012123:Pulmonary Ventilation; D012121:Respiration, Artificial / Q000379:methods*; D012131:Respiratory Insufficiency / Q000097:blood / Q000628:therapy*
D002245:Carbon Dioxide; D010100:Oxygen
Atemwegsdruck und transkutane O2- und CO2-Partialdrücke als Monitorgrössen für die High Frequency Jet-Ventilation?