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Canadian Journal of Anesthesia, Vol 33, 505-508, Copyright © 1986 by Canadian Anesthesiologists' Society

Transcutaneous Oxygen Monitoring in an Infant Undergoing Tracheoesophageal Fistula Repair

MICHAEL J. BAUTISTA MD1, BRIAN S. KUWAHARA MD FRCPC1, and CHARLES U. HENDERSON MD, FRCPC1

1 Department of Anaesthesia, Dr. Charles A. Janeway Child Health Centre, St. John's, Nfld., A1A 1R8

Correspondence should be addressed to Dr. Kuwahara.

A case report is presented describing the clinical usefulness of transcutaneous oxygen (PtcO2) monitoring in an infant undergoing tracheoesophageal fistula repair. Its use allowed early and precise recognition of hypoxaemia during periods of surgical manipulation. During periods of hypoxaemia, there were no associated cardiovascular changes or changes in routine monitoring modalities. Clinical use of PtcO2 may detect early hypoxaemia and thus allow for correction before the appearance of changes in vital signs.

Key Words: ANAESTHESIA: paediatric neonatal • SURGERY: tracheoesophageal fistula repair • MONITORING: noninvasive, transcutaneous O2.






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Copyright © 1986 by the Canadian Anesthesiologists' Society.