A new method for continuous tonometric measurement - in vitro studies

The available methods for tonometric pCO2 measurement only provide the possibility of performing intermittent registrations. A new method allowing continuous tonometric pCO2 measurement has been developed and tested in an in vitro model. A standard tonometer for intestinal pCO2 measurement was modified to allow continuous perfusion of the balloon with physiological saline solution in a closed system. The pCO2 in the system was determined in a specially constructed measurement chamber with a TCM20 percutaneous pCO2 monitor. In this in vitro model the tonometer balloon was placed in a saline bath with a constant pCO2 concentration and the measurements from the closed circulating system were compared with those obtained from a standard tonometer placed in the same bath. In 8 and 24 h experiments the circulating system measured the pCO2 value as accurately and reliably as traditional tonometry. This study indicates that the new method makes continuous monitoring of pCO2 possible.

[1]  A. Dubin,et al.  Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients , 1992, The Lancet.

[2]  B. S. Cutler,et al.  Sigmoid intramural pH for prediction of ischemic colitis during aortic surgery. A comparison with risk factors and inferior mesenteric artery stump pressures. , 1987, Archives of surgery.

[3]  G. Gutierrez Cellular energy metabolism during hypoxia , 1991, Critical care medicine.

[4]  J. Bion,et al.  Measuring carbon dioxide tension in saline and alternative solutions: Quantification of bias and precision in two blood gas analyzers , 1994, Critical care medicine.

[5]  J. Vincent,et al.  Combined measurements of blood lactate concentrations and gastric intramucosal pH in patients with severe sepsis. , 1995, Critical care medicine.

[6]  S. Baker,et al.  Prediction of the development of sigmoid ischemia on the day of aortic operations. Indirect measurements of intramural pH in the colon. , 1986, Archives of surgery.

[7]  Lillehei Rc The intestinal factor in irreversible hemorrhagic shock. , 1957 .

[8]  U. Haglund,et al.  Intramucosal pH measurement with tonometers for detecting gastrointestinal ischemia in porcine hemorrhagic shock. , 1989, Circulatory shock.

[9]  R. Fiddian-Green Role of the gut in shock and resuscitation , 1991 .

[10]  G. LaMuraglia,et al.  Intestinal ischemia complicating abdominal aortic surgery. , 1991, Surgery.

[11]  M. Björck,et al.  Early detection of major complications after abdominal aortic surgery: Predictive value of sigmoid colon and gastric intramucosal ph monitoring , 1994, The British journal of surgery.

[12]  T. Brussel,et al.  A New Method for Continuous Intramucosal PCO2 Measurement in the Gastrointestinal Tract , 1996, Anesthesia and analgesia.

[13]  Fiddian-Green Rg,et al.  The role of the gut in shock and multiple system organ failure. , 1991 .

[14]  G. Gutierrez,et al.  Gastric intramucosal pH: a noninvasive method for the indirect measurement of tissue oxygenation. , 1992, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[15]  I. Jousela,et al.  Validation of air tonometric measurement of gastric regional concentrations of CO2 in critically ill septic patients , 1997, Intensive Care Medicine.

[16]  M. Fink,et al.  Validation of tonometric measurement of gut intramural pH during endotoxemia and mesenteric occlusion in pigs. , 1990, The American journal of physiology.