View : 227 Download: 51
Transcutaneous Carbon Dioxide Monitoring More Accurately Detects Hypercapnia than End-Tidal Carbon Dioxide Monitoring during Non-Intubated Video-Assisted Thoracic Surgery: A Retrospective Cohort Study
- Title
- Transcutaneous Carbon Dioxide Monitoring More Accurately Detects Hypercapnia than End-Tidal Carbon Dioxide Monitoring during Non-Intubated Video-Assisted Thoracic Surgery: A Retrospective Cohort Study
- Authors
- Lee, Hyun Jung; Woo, Jae Hee; Cho, Sooyoung; Moon, Sunyoung; Sung, Sook Whan
- Ewha Authors
- 우재희; 조수영; 이현정
- SCOPUS Author ID
- 우재희; 조수영; 이현정
- Issue Date
- 2023
- Journal Title
- JOURNAL OF CLINICAL MEDICINE
- ISSN
- 2077-0383
- Citation
- JOURNAL OF CLINICAL MEDICINE vol. 12, no. 4
- Keywords
- transcutaneous carbon dioxide monitoring; end-tidal carbon dioxide monitoring; hypercapnia; non-intubated video-assisted thoracoscopic surgery
- Publisher
- MDPI
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Transcutaneous carbon dioxide (PtcCO(2)) monitoring is known to be effective at estimating the arterial partial pressure of carbon dioxide (PaCO2) in patients with sedation-induced respiratory depression. We aimed to investigate the accuracy of PtcCO(2) monitoring to measure PaCO2 and its sensitivity to detect hypercapnia (PaCO2 > 60 mmHg) compared to nasal end-tidal carbon dioxide (PetCO(2)) monitoring during non-intubated video-assisted thoracoscopic surgery (VATS). This retrospective study included patients undergoing non-intubated VATS from December 2019 to May 2021. Datasets of PetCO(2), PtcCO(2), and PaCO2 measured simultaneously were extracted from patient records. Overall, 111 datasets of CO2 monitoring during one-lung ventilation (OLV) were collected from 43 patients. PtcCO(2) had higher sensitivity and predictive power for hypercapnia during OLV than PetCO(2) (84.6% vs. 15.4%, p < 0.001; area under the receiver operating characteristic curve; 0.912 vs. 0.776, p = 0.002). Moreover, PtcCO(2) was more in agreement with PaCO2 than PetCO(2), indicated by a lower bias (bias +/- standard deviation; -1.6 +/- 6.5 mmHg vs. 14.3 +/- 8.4 mmHg, p < 0.001) and narrower limit of agreement (-14.3-11.2 mmHg vs. -2.2-30.7 mmHg). These results suggest that concurrent PtcCO(2) monitoring allows anesthesiologists to provide safer respiratory management for patients undergoing non-intubated VATS.
- DOI
- 10.3390/jcm12041706
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
-
jcm-12-01706-v2.pdf(1.5 MB)
Download
- Export
- RIS (EndNote)
- XLS (Excel)
- XML