經皮二氧化碳分壓監測在小兒圍手術期中的應用進展_West China Medical Journal

Authors：

 喬芊芊 ,  譚玲

四川大學華西醫院麻醉科（成都 610041）;

Corresponding?author：

譚玲, Email: Scutanl@163.com

Keywords：

血氣監測; 經皮; 二氧化碳分壓; 小兒; 圍手術期

DOI：

10.7507/1002-0179.20150399

Video：

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目的經皮二氧化碳在小兒圍手術期中使用具有無創、方便、持續監測的優點，尤其是應用于重癥患兒有其獨特的優勢，在肺功能障礙和循環功能不穩定的患兒中，能夠更準確地反映其通氣功能。另外，在圍手術期應用彌補了存在拔管后或運送，病房期間的監測空白期，全程保護患兒的圍手術期安全，而且其在評估酸血癥方面也有一定的實用價值。

Citation： 喬芊芊, 譚玲. 經皮二氧化碳分壓監測在小兒圍手術期中的應用進展. West China Medical Journal, 2015, 30(7): 1387-1390. doi: 10.7507/1002-0179.20150399 Copy

1.	Huttmann SE, Windisch W, Storre JH. Techniques for the measurement and monitoring of carbon dioxide in the blood[J]. Ann Am Thorac Soc, 2014, 11(4):645-652.
2.	奚云. 呼氣末二氧化碳監測在新生兒重癥肺炎機械通氣中的應用分析[J]. 中國醫藥導報, 2013, 10(25):45-46.
3.	Severinghaus JW, Astrup PB. History of blood gas analysis. VI. Oximetry[J]. J Clin Monit, 1986, 2(4):270-288.
4.	Eberhard P. The design, use, and results of transcutaneous carbon dioxide analysis:current and future directions[J]. Anesth Analg, 2007, 105(6 Suppl):S48-S52.
5.	Rudiger M, Topfer K, Hammer H, et al. A survey of transcutaneous blood gas monitoring among European neonatal intensive care units[J]. BMC Pediatr, 2005, 5:30.
6.	Hirata K, Nishihara M, Oshima Y, et al. Application of transcutaneous carbon dioxide tension monitoring with low electrode temperatures in premature infants in the early postnatal period[J]. Am J Perinatol, 2014, 31(5):435-440.
7.	孔繁亮, Depeursinge C. 基于紅外光譜技術的經皮二氧化碳分壓檢測儀的設計原理與可行性研究[J]. 中國生物醫學工程學報, 1992, 11(3):186.
8.	Chatterjee M, Ge X, Kostov Y, et al. A novel approach toward noninvasive monitoring of transcutaneous CO(2)[J]. Med Eng Phys, 2014, 36(1):136-139.
9.	Drysdale D. Transcutaneous carbon dioxide monitoring:literature review[J]. Oral Health Dent Manag, 2014, 13(2):453-457.
10.	Tingay DG, Mun KS, Perkins EJ. End tidal carbon dioxide is as reliable as transcutaneous monitoring in ventilated postsurgical neonates[J]. Arch Dis Child Fetal Neonatal Ed, 2013, 98(2):F161-164.
11.	Short JA, Paris ST, Booker PD, et al. Arterial to end-tidal carbon dioxide tension difference in children with congenital heart disease[J]. Br J Anaesth, 2001, 86(3):349-353.
12.	Wilson J, Russo P, Russo J, et al. Noninvasive monitoring of carbon dioxide in infants and children with congenital heart disease:endtidal versus transcutaneous techniques[J]. J Intensive Care Med, 2005, 20(5):291-295.
13.	Tobias JD, Meyer DJ. Noninvasive monitoring of carbon dioxide during respiratory failure in toddlers and infants:end-tidal versus transcutaneous carbon dioxide[J]. Anesth Analg, 1997, 85(1):55-58.
14.	Perrin K, Wijesinghe M, Weatherall M, et al. Assessing PaCO₂ in acute respiratory disease:accuracy of a transcutaneous carbon dioxide device[J]. Intern Med J, 2011, 41(8):630-633.
15.	Gal S, Riskin A, Chistyakov I, et al. Transcutaneous PCO₂ monitoring in infants hospitalized with viral bronchiolitis[J]. Eur J Pediatr, 2015, 174(3):319-324.
16.	Gancel PE, Roupie E, Guittet L, et al. Accuracy of a transcutaneous carbon dioxide pressure monitoring device in emergency room patients with acute respiratory failure[J]. Intensive Care Med, 2011, 37(2):348-351.
17.	李仙梅, 王健, 楊瑩, 等. 應用主流呼氣末二氧化碳監測技術對接受機械通氣的新生兒進行護理的體會[J]. 求醫問藥(下半月), 2013, (10).
18.	Tobias JD, Wilson WR Jr, Meyer DJ. Transcutaneous monitoring of carbon dioxide tension after cardiothoracic surgery in infants and children[J]. Anesth Analg, 1999, 88(3):531-534.
19.	Holmgren D, Sixt R. Transcutaneous and arterial blood gas monitoring during acute asthmatic symptoms in older children[J]. Pediatr Pulmonol, 1992, 14(2):80-84.
20.	Fanconi S, Leumann EP. Acute renal failure in paediatric patients:the role of continuous haemofiltration[J]. Intensive Care Med, 1991, 17(6):311-312.
21.	Berkenbosch JW, Tobias JD. Transcutaneous carbon dioxide monitoring during high-frequency oscillatory ventilation in infants and children[J]. Crit Care Med, 2002, 30(5):1024-1027.
22.	Tingay DG, Stewart MJ, Morley CJ. Monitoring of end tidal carbon dioxide and transcutaneous carbon dioxide during neonatal transport[J]. Arch Dis Child Fetal Neonatal Ed, 2005, 90(6):F523-526.
23.	Finzgar M, Melik Z, Cankar K. Effect of transcutaneous application of gaseous carbon dioxide on cutaneous microcirculation[J]. Clin Hemorheol Microcirc, 2014.
24.	van Oppen JD, Daniel PS, Sovani MP. What is the potential role of transcutaneous carbon dioxide in guiding acute noninvasive ventilation?[J]. Respir Care, 2014.
25.	Sandberg KL, Brynjarsson H, Hjalmarson O. Transcutaneous blood gas monitoring during neonatal intensive care[J]. Acta Paediatr, 2011, 100(5):676-679.

1. Huttmann SE, Windisch W, Storre JH. Techniques for the measurement and monitoring of carbon dioxide in the blood[J]. Ann Am Thorac Soc, 2014, 11(4):645-652.
2. 奚云. 呼氣末二氧化碳監測在新生兒重癥肺炎機械通氣中的應用分析[J]. 中國醫藥導報, 2013, 10(25):45-46.
3. Severinghaus JW, Astrup PB. History of blood gas analysis. VI. Oximetry[J]. J Clin Monit, 1986, 2(4):270-288.
4. Eberhard P. The design, use, and results of transcutaneous carbon dioxide analysis:current and future directions[J]. Anesth Analg, 2007, 105(6 Suppl):S48-S52.
5. Rudiger M, Topfer K, Hammer H, et al. A survey of transcutaneous blood gas monitoring among European neonatal intensive care units[J]. BMC Pediatr, 2005, 5:30.
6. Hirata K, Nishihara M, Oshima Y, et al. Application of transcutaneous carbon dioxide tension monitoring with low electrode temperatures in premature infants in the early postnatal period[J]. Am J Perinatol, 2014, 31(5):435-440.
7. 孔繁亮, Depeursinge C. 基于紅外光譜技術的經皮二氧化碳分壓檢測儀的設計原理與可行性研究[J]. 中國生物醫學工程學報, 1992, 11(3):186.
8. Chatterjee M, Ge X, Kostov Y, et al. A novel approach toward noninvasive monitoring of transcutaneous CO(2)[J]. Med Eng Phys, 2014, 36(1):136-139.
9. Drysdale D. Transcutaneous carbon dioxide monitoring:literature review[J]. Oral Health Dent Manag, 2014, 13(2):453-457.
10. Tingay DG, Mun KS, Perkins EJ. End tidal carbon dioxide is as reliable as transcutaneous monitoring in ventilated postsurgical neonates[J]. Arch Dis Child Fetal Neonatal Ed, 2013, 98(2):F161-164.
11. Short JA, Paris ST, Booker PD, et al. Arterial to end-tidal carbon dioxide tension difference in children with congenital heart disease[J]. Br J Anaesth, 2001, 86(3):349-353.
12. Wilson J, Russo P, Russo J, et al. Noninvasive monitoring of carbon dioxide in infants and children with congenital heart disease:endtidal versus transcutaneous techniques[J]. J Intensive Care Med, 2005, 20(5):291-295.
13. Tobias JD, Meyer DJ. Noninvasive monitoring of carbon dioxide during respiratory failure in toddlers and infants:end-tidal versus transcutaneous carbon dioxide[J]. Anesth Analg, 1997, 85(1):55-58.
14. Perrin K, Wijesinghe M, Weatherall M, et al. Assessing PaCO₂ in acute respiratory disease:accuracy of a transcutaneous carbon dioxide device[J]. Intern Med J, 2011, 41(8):630-633.
15. Gal S, Riskin A, Chistyakov I, et al. Transcutaneous PCO₂ monitoring in infants hospitalized with viral bronchiolitis[J]. Eur J Pediatr, 2015, 174(3):319-324.
16. Gancel PE, Roupie E, Guittet L, et al. Accuracy of a transcutaneous carbon dioxide pressure monitoring device in emergency room patients with acute respiratory failure[J]. Intensive Care Med, 2011, 37(2):348-351.
17. 李仙梅, 王健, 楊瑩, 等. 應用主流呼氣末二氧化碳監測技術對接受機械通氣的新生兒進行護理的體會[J]. 求醫問藥(下半月), 2013, (10).
18. Tobias JD, Wilson WR Jr, Meyer DJ. Transcutaneous monitoring of carbon dioxide tension after cardiothoracic surgery in infants and children[J]. Anesth Analg, 1999, 88(3):531-534.
19. Holmgren D, Sixt R. Transcutaneous and arterial blood gas monitoring during acute asthmatic symptoms in older children[J]. Pediatr Pulmonol, 1992, 14(2):80-84.
20. Fanconi S, Leumann EP. Acute renal failure in paediatric patients:the role of continuous haemofiltration[J]. Intensive Care Med, 1991, 17(6):311-312.
21. Berkenbosch JW, Tobias JD. Transcutaneous carbon dioxide monitoring during high-frequency oscillatory ventilation in infants and children[J]. Crit Care Med, 2002, 30(5):1024-1027.
22. Tingay DG, Stewart MJ, Morley CJ. Monitoring of end tidal carbon dioxide and transcutaneous carbon dioxide during neonatal transport[J]. Arch Dis Child Fetal Neonatal Ed, 2005, 90(6):F523-526.
23. Finzgar M, Melik Z, Cankar K. Effect of transcutaneous application of gaseous carbon dioxide on cutaneous microcirculation[J]. Clin Hemorheol Microcirc, 2014.
24. van Oppen JD, Daniel PS, Sovani MP. What is the potential role of transcutaneous carbon dioxide in guiding acute noninvasive ventilation?[J]. Respir Care, 2014.
25. Sandberg KL, Brynjarsson H, Hjalmarson O. Transcutaneous blood gas monitoring during neonatal intensive care[J]. Acta Paediatr, 2011, 100(5):676-679.

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經皮二氧化碳分壓監測在小兒圍手術期中的應用進展

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