经皮二氧化碳分压监测在小儿围手术期中的应用进展_West China Medical Journal

Authors：

 乔芊芊 ,  谭玲

四川大学华西医院麻醉科（成都 610041）;

Corresponding author：

谭玲, Email: Scutanl@163.com

Keywords：

血气监测; 经皮; 二氧化碳分压; 小儿; 围手术期

DOI：

10.7507/1002-0179.20150399

Video：

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目的经皮二氧化碳在小儿围手术期中使用具有无创、方便、持续监测的优点，尤其是应用于重症患儿有其独特的优势，在肺功能障碍和循环功能不稳定的患儿中，能够更准确地反映其通气功能。另外，在围手术期应用弥补了存在拔管后或运送，病房期间的监测空白期，全程保护患儿的围手术期安全，而且其在评估酸血症方面也有一定的实用价值。

Citation： 乔芊芊, 谭玲. 经皮二氧化碳分压监测在小儿围手术期中的应用进展. 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. 呼气末二氧化碳监测在新生儿重症肺炎机械通气中的应用分析[J]. 中国医药导报, 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. 基于红外光谱技术的经皮二氧化碳分压检测仪的设计原理与可行性研究[J]. 中国生物医学工程学报, 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, 杨莹, 等. 应用主流呼气末二氧化碳监测技术对接受机械通气的新生儿进行护理的体会[J]. 求医问药(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. 呼气末二氧化碳监测在新生儿重症肺炎机械通气中的应用分析[J]. 中国医药导报, 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. 基于红外光谱技术的经皮二氧化碳分压检测仪的设计原理与可行性研究[J]. 中国生物医学工程学报, 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, 杨莹, 等. 应用主流呼气末二氧化碳监测技术对接受机械通气的新生儿进行护理的体会[J]. 求医问药(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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经皮二氧化碳分压监测在小儿围手术期中的应用进展

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