Journal article

The DCO2 measured by gastric tonometry predicts survival in children receiving extracorporeal life support - Comparison with other hemodynamic and biochemical information

T Duke, W Butt, M South, F Shann

CHEST | AMER COLL CHEST PHYSICIANS | Published : 1997

Abstract

STUDY OBJECTIVE: To assess the role of gastric tonometry in monitoring children receiving extracorporeal life support (ECLS) and to determine if DCO2 or pHi in the weaning phase of ECLS predicts survival. DESIGN: A prospective study of consecutive patients treated with ECLS. SETTING: A tertiary pediatric ICU that is the ECLS referral center for Australia. PATIENTS: Twenty consecutive children receiving ECLS for cardiovascular or respiratory failure. INTERVENTIONS: All children were monitored throughout their ECLS course using a tonometer inserted into the stomach via the orogastric route. The PCO2 in the tonometer balloon was measured every 4 to 6 h and the pHi was calculated using the Hende..

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