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Using the capnogram to assess pulmonary perfusion during a lobectomy: case studies

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收录情况: ◇ SCIE ◇ EI

机构: [1]Department of Anesthesiology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China
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关键词: Capnography End-tidal carbon dioxide pressure (PetCO2) Lobectomy Pulmonary artery perfusion

摘要:
Capnography is an effective and non-invasive method for monitoring patients during general anesthesia and can reflect the changes in both the respiratory function as well as the circulatory function. In this paper, we present four cases of lobectomy in which we observed a "chair-like" waveform on performing capnography after the surgery. In all the cases, the appearance of this "chair-like" waveform led to the suspicion of a blockage in the pulmonary artery perfusion, which was then confirmed to be an obstruction in the pulmonary artery on further investigation. This suggests that during lobectomy, capnography can help confirm that the pulmonary circulation is unobstructed. We believe that it is very important to observe the changes of end-tidal carbon dioxide pressure and capnogram during one-lung ventilation, particularly in cases of pulmonary artery anastomosis.

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出版当年[2019]版:
大类 | 3 区 医学
小类 | 4 区 麻醉学
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 麻醉学
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出版当年[2019]版:
Q3 ANESTHESIOLOGY
最新[2023]版:
Q2 ANESTHESIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Anesthesiology, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China
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