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Effect of Corrective or Palliative Procedures on Arterial to End-tidal Carbon Dioxide Pressure Difference in Pediatric Cardiac Surgery

BACKGROUND: The normal small difference (3–5 mmHg) between arterial (partial pressure of carbon dioxide [PaCO(2)]) and end-tidal carbon dioxide pressure (ETPCO(2)) increases in children with congenital heart disease. The present study was conducted to evaluate the effect of corrective or palliative...

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Autores principales: Bilehjani, Eissa, Fakhari, Solmaz, Yaghoubi, Alireza, Eslampoor, Yashar, Atashkhoei, Simin, Mirinajad, Mousa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615010/
https://www.ncbi.nlm.nih.gov/pubmed/31290467
http://dx.doi.org/10.4103/ajps.AJPS_97_16
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author Bilehjani, Eissa
Fakhari, Solmaz
Yaghoubi, Alireza
Eslampoor, Yashar
Atashkhoei, Simin
Mirinajad, Mousa
author_facet Bilehjani, Eissa
Fakhari, Solmaz
Yaghoubi, Alireza
Eslampoor, Yashar
Atashkhoei, Simin
Mirinajad, Mousa
author_sort Bilehjani, Eissa
collection PubMed
description BACKGROUND: The normal small difference (3–5 mmHg) between arterial (partial pressure of carbon dioxide [PaCO(2)]) and end-tidal carbon dioxide pressure (ETPCO(2)) increases in children with congenital heart disease. The present study was conducted to evaluate the effect of corrective or palliative cardiac surgery on this difference (known as DPCO2). PATIENTS AND METHODS: In a prospective study, 200 children (aged <12 years old) candidate for corrective or palliative cardiac surgery were studied. Using arterial blood gas measurement and simultaneous capnography, DPCO(2) was calculated at various intra- and postoperative periods. DPCO(2) values were compared within and between corrective or palliative procedures. RESULTS: Corrective and palliative procedures were carried out on 154 and 46 patients, respectively. Initial DPCO(2) was higher than normal values in corrective or palliative procedures (15.50 ± 13.1 and 10.75 ± 9.1 mmHg, respectively). DPCO(2) was higher in patients who underwent palliative procedure, except early after procedure. The procedure did not have any effect on the final DPCO(2) in palliative group. Although DPCO(2) decrease was significant in the corrective group, it did not return to normal values. Operation time was longer, and the need to inotropic support was higher in corrective procedures; however, longer periods of ventilatory support were needed in the palliative group. Complication rate and Intensive Care Unit stay time were the same in two operation types. CONCLUSIONS: DPCO(2) did not change after palliative cardiac procedures. DPCO(2) decreased after corrective procedures; however, it did not return to normal values at early postoperative period. Thus, DPCO(2) may not have any clinical value in monitoring the quality of corrective or palliative procedures.
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spelling pubmed-66150102019-07-22 Effect of Corrective or Palliative Procedures on Arterial to End-tidal Carbon Dioxide Pressure Difference in Pediatric Cardiac Surgery Bilehjani, Eissa Fakhari, Solmaz Yaghoubi, Alireza Eslampoor, Yashar Atashkhoei, Simin Mirinajad, Mousa Afr J Paediatr Surg Original Article BACKGROUND: The normal small difference (3–5 mmHg) between arterial (partial pressure of carbon dioxide [PaCO(2)]) and end-tidal carbon dioxide pressure (ETPCO(2)) increases in children with congenital heart disease. The present study was conducted to evaluate the effect of corrective or palliative cardiac surgery on this difference (known as DPCO2). PATIENTS AND METHODS: In a prospective study, 200 children (aged <12 years old) candidate for corrective or palliative cardiac surgery were studied. Using arterial blood gas measurement and simultaneous capnography, DPCO(2) was calculated at various intra- and postoperative periods. DPCO(2) values were compared within and between corrective or palliative procedures. RESULTS: Corrective and palliative procedures were carried out on 154 and 46 patients, respectively. Initial DPCO(2) was higher than normal values in corrective or palliative procedures (15.50 ± 13.1 and 10.75 ± 9.1 mmHg, respectively). DPCO(2) was higher in patients who underwent palliative procedure, except early after procedure. The procedure did not have any effect on the final DPCO(2) in palliative group. Although DPCO(2) decrease was significant in the corrective group, it did not return to normal values. Operation time was longer, and the need to inotropic support was higher in corrective procedures; however, longer periods of ventilatory support were needed in the palliative group. Complication rate and Intensive Care Unit stay time were the same in two operation types. CONCLUSIONS: DPCO(2) did not change after palliative cardiac procedures. DPCO(2) decreased after corrective procedures; however, it did not return to normal values at early postoperative period. Thus, DPCO(2) may not have any clinical value in monitoring the quality of corrective or palliative procedures. Wolters Kluwer - Medknow 2018 /pmc/articles/PMC6615010/ /pubmed/31290467 http://dx.doi.org/10.4103/ajps.AJPS_97_16 Text en Copyright: © 2019 African Journal of Paediatric Surgery http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Bilehjani, Eissa
Fakhari, Solmaz
Yaghoubi, Alireza
Eslampoor, Yashar
Atashkhoei, Simin
Mirinajad, Mousa
Effect of Corrective or Palliative Procedures on Arterial to End-tidal Carbon Dioxide Pressure Difference in Pediatric Cardiac Surgery
title Effect of Corrective or Palliative Procedures on Arterial to End-tidal Carbon Dioxide Pressure Difference in Pediatric Cardiac Surgery
title_full Effect of Corrective or Palliative Procedures on Arterial to End-tidal Carbon Dioxide Pressure Difference in Pediatric Cardiac Surgery
title_fullStr Effect of Corrective or Palliative Procedures on Arterial to End-tidal Carbon Dioxide Pressure Difference in Pediatric Cardiac Surgery
title_full_unstemmed Effect of Corrective or Palliative Procedures on Arterial to End-tidal Carbon Dioxide Pressure Difference in Pediatric Cardiac Surgery
title_short Effect of Corrective or Palliative Procedures on Arterial to End-tidal Carbon Dioxide Pressure Difference in Pediatric Cardiac Surgery
title_sort effect of corrective or palliative procedures on arterial to end-tidal carbon dioxide pressure difference in pediatric cardiac surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6615010/
https://www.ncbi.nlm.nih.gov/pubmed/31290467
http://dx.doi.org/10.4103/ajps.AJPS_97_16
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