Intramucosal PCO2 measurement as a new monitoring method of free jejunal transfer following pharyngo-laryngo-esophagectomy

Plastic and Reconstructive Surgery

Volumn 112, Issue 5, 2003, Pages 1247-1256

  Imanishi, Yorihisa ^a,b   Nameki, Hideo ^a,b   Isobe, Kiyoshi ^a,b   Kaneda, Toru ^a,b   Yamashita, Daisuke ^a,b   Yuge, Isamu ^a,b   Okada, Waichiro ^a,b   Nameki, Ichirota ^a,b   Araki, Yasutomo ^a,b   Suzuki, Takafumi ^a,b  

^a Shizuoka Red Cross Hospital ^*

^b SHIZUOKA RED CROSS HOSPITAL   (Japan)

Author keywords

[No Author keywords available]

Indexed keywords

CARBON DIOXIDE;

ARTICLE; CANCER SURGERY; CARBON DIOXIDE MEASUREMENT; ESOPHAGUS RESECTION; HUMAN; INTESTINE FUNCTION; LARYNGOPLASTY; PHARYNX RECONSTRUCTION; POSTOPERATIVE PERIOD; PRESSURE; PRIORITY JOURNAL; TONOMETER; CHEMISTRY; EAR NOSE THROAT SURGERY; HYPOPHARYNX TUMOR; JEJUNUM; LARYNGECTOMY; METHODOLOGY; MONITORING; MUCOSA; OROPHARYNX TUMOR; PHARYNX CANCER; TRANSPLANTATION;

CARBON DIOXIDE; ESOPHAGECTOMY; HUMANS; HYPOPHARYNGEAL NEOPLASMS; JEJUNUM; LARYNGECTOMY; MONITORING, PHYSIOLOGIC; MUCOUS MEMBRANE; OROPHARYNGEAL NEOPLASMS; OTORHINOLARYNGOLOGIC SURGICAL PROCEDURES; PARTIAL PRESSURE; PHARYNGEAL NEOPLASMS; PHARYNGECTOMY; POSTOPERATIVE PERIOD;

EID: 0141904955     PISSN: 00321052     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.PRS.0000080727.74314.34     Document Type: Article

References (40)

1. Yuen, J. C., and Feng, Z. Monitoring free flaps using the laser Doppler flowmeter: Five-year experience. Plast. Reconstr. Surg. 105: 55, 2000.
2. Stepnick, D. W., and Hayden, R. E. Postoperative monitoring and salvage of microvascular free flaps. Otolaryngol. Clin. North Am. 27: 1201, 1994.
3. Machens, H. G., Mailaender, P., Rieck, B., and Berger, A. Techniques of postoperative blood flow monitoring after free tissue transfer: An overview. Microsurgery 15: 778, 1991.
4. Berger, A., Machens, H. G., and Mailaender, P. Approaches to postoperative blood flow monitoring after free tissue transfer: Which is the best? Int. Angiol. 14: 288, 1995.
5. Neligan, P. C. Monitoring techniques for the detection of flow failure in the postoperative period. Microsurgery 14: 162, 1993.
6. Jones, N. F. Intraoperative and postoperative monitoring of microsurgical free tissue transfers. Clin. Plast. Surg. 19: 783, 1992.
7. Jones, B. M. Monitors for the cutaneous microcirculation. Plast. Reconstr. Surg. 73: 843, 1984.
8. Heller, L., Levin, L. S., and Klitzman, B. Laser Doppler flowmeter monitoring of free-tissue transfers: Blood flow in normal and complicated cases. Plast. Reconstr. Surg. 107: 1739, 2001.
9. Disa, J.J., Cordeiro, P. G., and Hidalgo, D. A. Efficacy of conventional monitoring techniques in free tissue transfer: An 11-year experience in 750 consecutive cases. Plast. Reconstr. Surg. 104: 97, 1999.
10. Bafitis, H., Stallings, J.O., and Ban, J. A reliable method for monitoring the microvascular patency of free jejunal transfers in reconstructing the pharynx and cervical esophagus. Plast. Reconstr. Surg. 83: 896, 1989.
11. Katsaros, J., Banis, J. C., Acland, R. D., and Tan, E. Monitoring free vascularised jejunum grafts. Br. J. Plast. Surg. 38: 220, 1985.
12. Hallock, G. G., and Koch, T. J. External monitoring of vascularized jejunum transfers using laser Doppler flowmetry. Ann. Plast. Surg. 24: 213, 1990.
13. Stack, B. C., Jr., Futran, N. D., Ridley, M. B., Schultz, S., and Sillman, J. S. Signal averaging and waveform analysis of laser Doppler flowmetry monitoring of porcine myocutaneous flaps: I. Acute assessment of flap viability. Otolaryngol. Head Neck Surg. 113: 550, 1995.
14. Svensson, H., Holmberg, J., and Svedman, P. Interpreting laser Doppler recordings from free flaps. Scand. J. Plast. Reconstr. Surg. Hand Surg. 27: 81, 1993.
15. Clinton, M. S., Sepka, R. S., Bristol, D., et al. Establishment of normal ranges of laser Doppler blood flow in autologous tissue transplants. Plast. Reconstr. Surg. 87: 299, 1991.
16. Hickerson, W. L., Colgin, S. L., and Proctor, K. G. Regional variations of laser Doppler blood flow in ischemic skin flaps. Plast. Reconstr. Surg. 86: 319, 1990.
17. Gutierrez, G., and Brown, S. D. Gastric tonometry: A new monitoring modality in the intensive care unit. J. Intensive Care Med. 10: 34, 1995.
18. Knichwitz, G., Van Aken, H., and Brüssel, T. Gastrointestinal monitoring using measurement of intramucosal PCO2. Anesth. Analg. 87: 134, 1998.
19. Knichwitz, G., Rotker, J., Mollhoff, T., Richter, K. D., and Brüssel, T. Continuous intramucosal PCO2 measurement allows the early detection of intestinal malperfusion. Crit. Care Med. 26: 1550, 1998.
20. Tang, W., Weil, M. H., Sun, S., Noc, M., Gazmuri, R. J., and Bisera, J. Gastric intramural PCO2 as monitor of perfusion failure during hemorrhagic and anaphylactic shock. J. Appl. Physiol. 76: 572, 1994.
21. Fiddian-Green, R. G., Pittenger, G., and Whitehouse, W. M., Jr. Back-diffusion of CO2 and its influence on the intramural pH in gastric mucosa. J. Surg. Res. 33: 39, 1982.
22. Fiddian-Green, R. G., McGough, E., Pittenger, G., and Rothman, E. Predictive value of intramural pH and other risk factors for massive bleeding from stress ulceration. Gastroenterology 85: 613, 1983.
23. Pastores, S. M., Katz, D. P., and Kvetan, V. Splanchnic ischemia and gut mucosal injury in sepsis and the multiple organ dysfunction syndrome. Am. J. Gastroenterol. 91: 1697, 1996.
24. Marshall, J. C., Christou, N. V., and Meakins, J. L. The gastrointestinal tract: The "undrained abscess" of multiple organ failure. Ann. Surg. 218: 111, 1993.
25. Fink, M. P. Adequacy of gut oxygenation in endotoxemia and sepsis. Crit. Care Med. 21 (Suppl. 2):S4, 1993.
26. Groeneveld, A. B., and Kolkman, J. J. Splanchnic tonometry: A review of physiology, methodology, and clinical applications. J. Crit. Care 9: 198, 1994.
27. Boyd, O., Mackay, C. J., Lamb, G., Bland, J. M., Grounds, R. M., and Bennett, E. D. Comparison of clinical information gained from routine blood-gas analysis and from gastric tonometry for intramural pH. Lancet 341: 142, 1993.
28. Trinder, T.J., Lavery, G. G., Fee, J. P., and Lowry, K. G. Low gastric intramucosal pH: Incidence and significance in intensive care patients. Anaesth. Intensive Care 23: 315, 1995.
29. Hamilton-Davies, C., Mythen, M. G., Salmon, J. B., Jacobson, D., Shukla, A., and Webb, A. R. Comparison of commonly used clinical indicators of hypovolaemia with gastrointestinal tonometry. Intensive Care Med. 23: 276, 1997.
30. Dawson, A. M., Trenchard, D., and Guz, A. Small bowel tonometry: Assessment of small gut mucosal oxygen tension in dog and man. Nature 206: 943, 1965.
31. Noc, M., Weil, M. H., Sun, S., Gazmuri, R. J., Tang, W., and Pakula, J. L. Comparison of gastric luminal and gastric wall PCO2 during hemorrhagic shock. Circ. Shock 40: 194, 1993.
32. Grum, C. M., Fiddian-Green, R. G., Pittenger, G. L., Grant, B. J., Rothman, E. D., and Dantzker, D. R. Adequacy of tissue oxygenation in in tact dog intestine. J. Appl. Physiol. 56: 1065, 1984.
33. Hirigoyen, M. B., Urken, M. L., and Weinberg, H. Free flap monitoring: A review of current practice. Microsurgery 16: 723, 1995.
34. Temmesfeld-Wollbruck, B., Szalay, A., Olschewski, H., Grimminger, F., and Seeger, W. Advantage of buffered solutions or automated capnometry in air-filled balloons for use in gastric tonometry. Intensive Care Med. 23: 423, 1997.
35. Fiddian-Green, R. G. Tonometry: Part 2 clinical use and cost implications. Intensive Care World 9: 130, 1992.
36. Takala, J., Parviainen, I., Siloaho, M., Ruokonen, E., and Hamalainen, E. Saline PCO2 is an important source of error in the assessment of gastric intramucosal pH. Crit. Care Med. 22: 1877, 1994.
37. Knichwitz, G., Merles, N., and Kuhmann, M. Improved PCO2 measurement in six standard blood gas analysers using a phosphate-buffered solution for gastric tonometry. Anaesthesia 50: 532, 1995.
38. Knichwitz, G., Kuhmann, M., Brodner, G., Merles, N., Goeters, C., and Brussel, T. Gastric tonometry: Precision and reliability are improved by a phosphate buffered solulion. Crit. Care Med. 24: 512, 1996.
39. Bass, B. L., Schweitzer, E.J., Harmon, J. W., and Kraimer, J. Intraluminal pCO2: A reliable indicator of intestinal ischemia. J. Surg. Res. 39: 351, 1985.
40. Goldberg, J., Sepka, R. S., Perona, B. P., Pederson, W. C., and Klitzman, B. Laser Doppler blood flow measurements of common cutaneous donor sites for reconstructive surgery. Plast. Reconstr. Surg. 85: 581, 1990.