Evidence map›Paper›PMID 40152431›Full record

ArticleBrazilian journal of cardiovascular surgery2025

Evaluation of Transcutaneous Non-Invasive Blood Gas Analysis for Monitoring Gas Exchange in Pediatric Cardiac Surgical Patients Post Extubation.

Gaurav Pandey, Salman Pervaiz Butt, Arshad Ghori, Naveen G Singh

Abstract readEvaluation Study
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Article in Brazilian journal of cardiovascular surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Gaurav PandeyHeart Vascular and Thoracic Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates.
Salman Pervaiz ButtHeart Vascular and Thoracic Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates.ORCID 0009-0007-1337-5986
Arshad GhoriHeart Vascular and Thoracic Institute, Cleveland Clinic, Abu Dhabi, United Arab Emirates.
Naveen G SinghDepartment of Anesthesiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPediatric cardiac surgery patients need close post-extubation monitoring for ventilation. Non-invasive transcutaneous partial pressure of oxygen (TcPO2) and transcutaneous partial pressure of carbon dioxide (TcPCO2) offer continuous insights and in improving care.

objectiveTo investigate the correlation of transcutaneous blood gases (TcPO2, TcPCO2) with arterial blood gases i.e. arterial partial pressure of oxygen (PaO2) and arterial partial pressure of carbon dioxide (PaCO2).

methodsWe conducted a study on 30 pediatric post-cardiac surgery patients (four months to three years old) who were extubated and exhibited stable hemodynamics (inotropic score ≤ 5), normal sinus rhythm, and no respiratory or heart failure signs. Continuous transcutaneous and intermittent arterial blood gas monitoring started one hour after extubation, with recordings every 30 minutes for four hours. A single observer conducted probe calibration and data recording to minimize variability, while analysis of 240 paired samples included correlation coefficient, linear regression, Bland-Altman analysis, and Mountain plot.

resultsThe r-value between PaCO2 and TcPCO2 was 0.95, r2-value of 0.9060 (P<0.001). Bland-Altman showed a bias of 2.579, and 95% limits of agreement were -6.4 to 1.3. The r-value between PaO2 and TcPO2 was 0.8942, r2-value of 0.7996 (P<0.001); bias of 20.171 and 95% limit of agreement of -0.5 to 40.9. The Mountain plot revealed a median of 2.57 for PaCO2 vs. TcPCO2 and 20.17 for PaO2 vs. TcPO2.

conclusionTranscutaneous carbon dioxide values are interchangeable with arterial PaCO2 in our population study, acting as a surrogate in postoperative pediatric cardiac surgery. Confirmation with arterial blood gases is needed if discrepancies occur.

Indexed as

Airway ExtubationBlood Gas Monitoring, TranscutaneousCarbon DioxideCardiac Surgical ProceduresOxygenPulmonary Gas ExchangeBlood Gas AnalysisChild, PreschoolFemaleHumansInfantMalePartial PressureReference ValuesReproducibility of ResultsTime FactorsCarbon DioxideOxygenCalibrationCarbon DioxideCardiac Surgical ProceduresChild, Transcutaneous Blood Gas MonitoringHeart FailureHemodynamicsOxygen

Identifiers

PMID40152431
PMCPMC11952150

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.