Value of tonometry in postoperative high risk patients with digestive surgery.
Intramucosal pH (pHi) in splanchnic organs is a reliable index of local tissular perfusion, and can be measured by tonometry. At the Surgical Intensive Care Unit we used tonometry to determine tissular perfusion in patients who underwent major digestive surgery. We report a prospective study of 20 patients with elective and emergency surgery. All of them underwent gastric tonometry and 10 of them, who had colonic disease, also underwent sigmoid tonometry. The values below pHi = 7.30 were associated with increased morbidity and mortality.
Ramos Carrasco
A
A
Servicio de Cirugía I, Hospital Universitario San Carlos, Madrid, España.
Hyat Inurrieta
L
L
Pérez Contín
M J
MJ
Calderón Duque
T
T
Aparicio Medrano
C
C
Durán Giménez-Rico
H J
HJ
Martínez Sarmiento
J
J
Alvarez Fernández-Represa
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D013505:Digestive System Surgical Procedures / Q000706:statistics & numerical data; D005260:Female; D005745:Gastric Acidity Determination; D006801:Humans; D006863:Hydrogen-Ion Concentration; D008297:Male; D008365:Manometry / Q000379:methods* / Q000706:statistics & numerical data; D008875:Middle Aged; D011184:Postoperative Period; D011379:Prognosis; D011446:Prospective Studies; D012307:Risk Factors; D013997:Time Factors