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• W1520261097 abstract "Background: The relatively good haemodynamic and respiratory tolerance to abdominal CO 2 insufflation has mostly been observed in healthy patients during short‐lasting laparoscopic procedures. End‐tidal CO 2 pressure (PetCO 2 ) has been shown to be a reliable method to assess arterial CO 2 (PaCO 2 ) in the absence of cardio‐respiratory disease in this setting. However, no study has investigated whether PetCO 2 is accurately related to PaCO 2 during laparoscopic colon surgery. Indeed, these procedures last longer, prolonging the pneumoperitoneum and requiring a Trendelenburg position. The aim of the present study was to measure the PaCO 2 –PetCO 2 difference over time in patients undergoing laparoscopic colon surgery and to determine whether PaCO 2 is reliably assessed by PetCO 2 . Methods: Forty consecutive patients (ASA I and II) scheduled for laparoscopic colon surgery were anaesthetized and ventilated to obtain a PetCO 2 between 4.0 and 5.5 kPa. After initiation of CO 2 insufflation, PaCO 2 and PetCO 2 were recorded every 30 min during surgery. Results: No complication was observed during anaesthesia. The mean arterial pressure increased significantly after CO 2 insufflation and remained steady up to the end of pneumoperitoneum. The heart rate remained stable over time. The relation between PaCO 2 and PetCO 2 was not constant among patients and increased over time within the same patients. The R 2 values fluctuated and did not show a constant correlation between PaCO 2 and PetCO 2 . Conclusion: The correlation between PaCO 2 and PetCO 2 during laparoscopic colon surgery is inconsistent mainly due to inter‐ and intra‐individual variability." @default.
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• W1520261097 date "2008-04-15" @default.
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• W1520261097 title "Laparoscopic colon surgery: unreliability of end-tidal CO2 monitoring" @default.
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• W1520261097 doi "https://doi.org/10.1111/j.1399-6576.2007.01568.x" @default.
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