Continuous arterial blood gas monitoring in pediatric patients: analysis of prolonged monitoring using the Paratrend 7 system

Ik Weiss,Jd Feldman,R Harrison,Je Brill

doi:10.1186/cc3859

Ik Weiss, Jd Feldman + Show 2 more

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https://doi.org/10.1186/cc3859

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Journal: Critical Care	Publication Date: Mar 1, 1997
Citations: 2	License type: cc-by

Affiliation: Mattel Children's Hospital

Abstract

Continuous blood gas monitoring is a new addition to the intensive care unit. The Paratrend 7 contains sensors to measure pH and PCO2, an electrode to measure PO2, and a thermistor to measure temperature. The entire apparatus can be placed via a 20 gauge arterial catheter. Because the initial proposed life span of the sensor was 72 h, those children who had it in place greater than this period form the basis of this analysis.

Highlights

Brain swelling (BS) is a kind of response observed in 15%– 20% of severe head injury
Conclusions: (i) The oxygen free radical (OFR) and LA have some important effect in postischemic-anoxic encephalopathy. (ii) Mild hypothermia induced immediately with reperfusion after Cardiac arrest (CA) may improve cerebral outcome. (iii) The mechanism of this beneficial effect may be to reduce the generation of OFR and to mitigate the lipid peroxidation induced by OFR
Being a potent vasoactive peptide produced in sepsis, ET may be involved in the pathophysiology of the markedly deteriorated splanchnic circulation seen in septic shock

Summary

Introduction

Brain swelling (BS) is a kind of response observed in 15%– 20% of severe head injury. Mean arterial blood pressure in fair prognosis patients increased significantly compared with control values, while slight decreases occurred in leukocyte and platelet counts after 30 min of this treatment. Methods: After approval of the ethics committee and written informed consent, 12 patients (6 male and 6 female, mean age 59 ± 10 years) undergoing elective liver resection randomly received either 0.4 g/kg HBOC-201 (Biopure MA, group 1) or 3 ml/kg of hydroxyethylstarch 70,000/0.5 (B Braun, FRG, group 2) after autologous blood donation of 1 l. Subjects and methods: A prospective study evaluating the efficacy of increasing peri-operative oxygen delivery in high risk surgical patients, to greater than 600 ml/min/m2 with dopexamine hydrochloride, in routine clinical practice Results: Expressed as medians with 25%, 75% centiles.

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