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British Journal of Anaesthesia, 1985, Vol. 57, No. 12 1257-1259
© 1985 The Board of Management and Trustees of the British Journal of Anaesthesia


case-report

END-TIDAL CARBON DIOXIDE CONCENTRATION AS AN INDICATOR OF PULMONARY BLOOD FLOW DURING CLOSED HEART SURGERY IN CHILDREN

A Report of Two Cases

J. L. SCHULLER, J. G. BOVILL and A. NIJVELD

Department of Anaesthesia, University of Amsterdam Academisch Medisch Centrum, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
Department of Paediatric Cardiac Surgery; University of Amsterdam, Academisch Medisch Centrum Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.

The value of the continuous monitoring of end-tidal carbon dioxide concentration as an indicator of the acute intraoperative interruption of pulmonary blood flow, in patients with pre-existing restrictions of pulmonary blood flow undergoing closed heart surgery, is illustrated by two case reports. Decreases in end-tidal carbon dioxide concentration often appeared several minutes before the changes in systemic haemodynamics.


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R. P. Mahajan and J. M. Hunter
Volume 100: Case reports: should they be confined to the dustbin?
Br. J. Anaesth., June 1, 2008; 100(6): 744 - 746.
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