title: Accuracy and performance of a modified continuous intravascular blood gas monitoring device during thoracoscopic surgery.
abstract: OBJECTIVE
  The only commercially available continuous intravascular blood gas monitoring system for adults, the Paratrend (Diametrics Medical Inc, High Wycombe, UK), was modified by the manufacturer to the Paratrend 7+ (PT7+) in 1999. The aim of this study was to evaluate the modified probe over a wide range of blood gas and pH values during thoracoscopic surgery in a similar setup as done with the previous model.
  
  
  METHODS
  Prospective methods comparison study.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Twenty-three patients.
  
  
  METHODS
  Elective thoracoscopic surgery.
  
  
  RESULTS
  One hundred thirteen PT7+ readings and their corresponding arterial blood gas and pH measurements (ABGA) were evaluated. The ranges for ABGA values were 50 to 474 mmHg for PO(2), 29 to 58 mmHg for PCO(2), and 7.28 to 7.49 for pH. Bland and Altman analysis revealed a bias +/- 2 standard deviation of -20 +/- 86 mmHg for PO(2), 3 +/- 9 mmHg for PCO(2), and -0.01 +/- 0.06 for pH. No specific complications attributable to the probe were observed.
  
  
  CONCLUSIONS
  In patients undergoing thoracoscopic surgery with rapidly changing blood gas parameters, the PT7+ device is a valuable trend indicator and hence may be helpful for clinical decision making. However, the underestimation of PO(2) values by 20 mmHg on average and the wide limits of agreement documented in this study must be regarded as limiting factors.
authors.affiliation: Institute of Anesthesiology, University Hospital Zurich, Zurich, Switzerland.
authors.forename: Michael T
authors.initials: MT
authors.lastname: Ganter
authors.forename: Christoph K
authors.initials: CK
authors.lastname: Hofer
authors.forename: Andreas
authors.initials: A
authors.lastname: Zollinger
authors.forename: Thierry
authors.initials: T
authors.lastname: Spahr
authors.forename: Thomas
authors.initials: T
authors.lastname: Pasch
authors.forename: Marco P
authors.initials: MP
authors.lastname: Zalunardo
mesh_terms: D000328:Adult; D000368:Aged; D001784:Blood Gas Analysis / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design / Q000379:methods; D005260:Female; D006801:Humans; D006863:Hydrogen-Ion Concentration; D066298:In Vitro Techniques; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000295:instrumentation* / Q000379:methods; D011446:Prospective Studies; D015203:Reproducibility of Results; D013906:Thoracoscopy / Q000379:methods*; D013997:Time Factors