الفهرس | Only 14 pages are availabe for public view |
Abstract The most important danger of clinical anaesthesia is tissue hypoxia. The common specific causes are mishaps reducing the inspired oxygen concentration, accidental circuit dsiconnection, upper air way obstruction misplacement of an endotracheal tube and hypoventilation. Clinical signs ofhypoxaemia may be rise in the heart rate followed by bradycardia, various cardiac arrhythmaias and finally cardiac arrest. Convulsions can occur with profound hypoxaemia. Cyanosis may appear in the skin and muscous membranes with oxygen saturation less than 75%. Arterial oxygenation can be measured non invasively by :- 1- Transcutaneous POz monitor: It measures oxygen tension at surface of the skin with a clark type PO electrade. 2- Ear oximetry: Ear oximeters estimate the percent oxygen saturation at arterial haemoglobin from the transmission of light through arterialized capillaries ofthe external ear. 3- Pulse oximetery : It measures arterial oxygen saturation in relation to the systolic expansion of the vascular bed. The invasive monitors are sampling of and arterial blood for Pa02 and oxygen saturation , also intravascular Clark-type P02 electrodes. In this review we are going to disscuse oxygen carriage in the arterial blood and different methods for measuring arterial oxygenation. |