Transcutaneous carbon dioxide tension in newborn infants: reliability and safety of continuous 24-hour measurement at 42 degrees C.

Details

Serval ID
serval:BIB_57035D2C79CC
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Transcutaneous carbon dioxide tension in newborn infants: reliability and safety of continuous 24-hour measurement at 42 degrees C.
Journal
Pediatrics
Author(s)
Bucher H.U., Fanconi S., Fallenstein F., Duc G.
ISSN
0031-4005
Publication state
Published
Issued date
1986
Peer-reviewed
Oui
Volume
78
Number
4
Pages
631-5
Language
english
Notes
Publication types: Journal Article - Publication Status: ppublish
Abstract
In 58 newborn infants a new iridium oxide sensor was evaluated for transcutaneous carbon dioxide (tcPCO2) monitoring at 42 degrees C with a prolonged fixation time of 24 hours. The correlation of tcPCO2 (y; mm Hg) v PaCO2 (x; mm Hg) for 586 paired values was: y = 4.6 + 1.45x; r = .89; syx = 6.1 mm Hg. The correlation was not influenced by the duration of fixation. The transcutaneous sensor detected hypocapnia (PaCO2 less than 35 mm Hg) in 74% and hypercapnia (PCO2 greater than 45 mm Hg) in 74% of all cases. After 24 hours, calibration shifts were less than 4 mm Hg in 90% of the measuring periods. In 86% of the infants, no skin changes were observed; in 12% of infants, there were transitional skin erythemas and in 2% a blister which disappeared without scarring. In newborn infants with normal BPs, continuous tcPCO2 monitoring at 42 degrees C can be extended for as many as 24 hours without loss of reliability or increased risk for skin burns.
Keywords
Blood Gas Monitoring, Transcutaneous, Electrodes, Evaluation Studies as Topic, Humans, Infant, Newborn, Infant, Premature, Iridium, Pilot Projects, Pressure, Regression Analysis, Safety
Pubmed
Web of science
Create date
25/01/2008 10:06
Last modification date
20/08/2019 14:11
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