[Usefulness of continuous intra-arterial blood gas monitoring in a patient undergoing tracheal transection and reconstruction].
Usefulness of a new continuous intra-arterial blood gas monitoring system (PB3300, Puritan-Bennett, Carlsbad, California) was evaluated in a patient with tracheal cancer who was undergoing tracheal transection and reconstruction. The PB3300 detected continuous changes in pH, PaCO2, and PaO2 during the surgical intervention and provided reliable information to take appropriate therapeutic measures. PB3300 was superior to pulse oximetry because the latter can not detect changes in PaO2 more than 100 mmHg accompanying pulmonary dysfunction caused by surgical procedures. We conclude that the PB3300 is a useful monitor when used during anesthetic management of the patient who needs frequent arterial blood gas analyses.
Furuya
K
K
Department of Anesthesiology, Jichi Medical School, Tochigi.
Kasuda
H
H
Fukuda
H
H
Mitsuhata
H
H
Hirabayashi
Y
Y
Akazawa
S
S
Shimizu
R
R
D000368:Aged; D000769:Anesthesia, Inhalation; D001784:Blood Gas Analysis / Q000295:instrumentation*; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D016343:Monitoring, Intraoperative / Q000295:instrumentation*; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000601:surgery