Dialysis-induced hypoxemia. Continuous monitoring of blood oxygen and carbon dioxide tension in children.
We report our experience with continuous, transcutaneous monitoring of capillary oxygen and carbon dioxide tension (PtcO2, PTlcCO2 ) during the entire length of hemodialysis treatment in 8 pediatric patients. The relative changes in PtcO2 and PtcCO2 observed with this method were in accordance with those reported in the literature, obtained with frequent arterial blood sampling. There was a temporary fall of PtcO2, averaging 26.2% after 2h of dialysis, with a concomitant rise of PtcCO2 of 9.9%. The noninvasive, transcutaneous measurement of PtcO2 and PtcCO2 is a reliable and valuable adjunct for the monitoring of the dialysis patient who is prone to develop hypoxemia. It is particularly useful in the very young.
D000293:Adolescent; D002245:Carbon Dioxide / Q000097:blood*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D000860:Hypoxia / Q000097:blood / Q000209:etiology*; D010100:Oxygen / Q000097:blood*; D006435:Renal Dialysis / Q000009:adverse effects*; D013997:Time Factors
D002245:Carbon Dioxide; D010100:Oxygen