The effects of different analgesic regimens on transcutaneous CO<sub>2</sub> after major surgery

McCormack, J. G.; Kelly, K. P.; Wedgwood, Josiah F.; Lyon, Robert A.

doi:10.1111/j.1365-2044.2008.05487.x

Cited by 19 publications

(9 citation statements)

References 31 publications

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“…Kopka et al [116] and McCormack et al [117] showed that tcPCO 2 was useful to detect hypoventilation by analgesia after surgery. However, they had no any other monitors, as a control to compare with tcPCO 2 , therefore, its usefulness is questionable.…”

Section: Percutaneous Oxygen and Carbon Dioxide Tensionmentioning

confidence: 99%

Recent advance in patient monitoring

Nishiyama¹

2010

Korean J Anesthesiol

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Recent advance in technology has developed a lot of new aspects of clinical monitoring. We can monitor sedation levels during anesthesia using various electroencephalographic (EEG) indices, while it is still not useful for anesthesia depth monitoring. Some attempts are made to monitor the changes in sympathetic nerve activity as one of the indicators of stress, pain/analgesia, or anesthesia. To know the balance of sympathetic and parasympathetic activity, heart rate or blood pressure variability is investigated. For trend of cardiac output, low invasive monitors have been investigated. Improvement of ultrasound enables us to see cardiac structure and function continuously and clearer, increases success rate and decreases complication of central venous puncture and various kinds of nerve blocks. Without inserting an arterial catheter, trends of arterial oxygen tension or carbon dioxide tension can be monitored. Indirect visualization of the airway decreases difficult intubation and makes it easier to teach tracheal intubation. The changes in blood volume can be speculated non-invasively. Cerebral perfusion and metabolism are not ordinary monitored yet, but some studies show their usefulness in management of critically ill. This review introduces recent advances in various monitors used in anesthesia and critical care including some studies of the author, especially focused on EEG and cardiac output. However, the most important is that these new monitors are not almighty but should be used adequately in a limited situation where their meaning is confirmed.

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Section: Percutaneous Oxygen and Carbon Dioxide Tensionmentioning

confidence: 99%

Recent advance in patient monitoring

Nishiyama¹

2010

Korean J Anesthesiol

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“…Cases of respiratory depression related to the use of basal infusions with PCA use have been reported [8][9][10][11]. The risk of respiratory depression was studied by analyzing which background infusion rates were associated with the greatest risk.…”

Section: Introductionmentioning

confidence: 99%

Morphine and its metabolites after patient-controlled analgesia: considerations for respiratory depression

Sam¹,

Mackey²,

Lötsch³

et al. 2011

Journal of Clinical Anesthesia

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“…Within our department we have looked specifically at transcutaneous PCO 2 (P tc CO 2 ) measurements in the first 24 h following major colorectal surgery and the effect that morphine PCA and epidural analgesia have on ventilation . Our findings revealed a mean (95% CI) postoperative P tc CO 2 of 5.6 (5.0–6.1) kPa in the epidural group compared with 6.7 (6.2–7.2) kPa in the PCA group, representing a significant increase over baseline P tc CO 2 in the PCA group of 1.8 (1.5–2.1) kPa compared with 0.7 (0.5–0.9) kPa in the epidural group.…”

mentioning

confidence: 89%