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CORRELATION BETWEEN MATERNAL AND FOETAL Po2 AND Pco2 DURING CAESAREAN SECTION
Authors:BARAKA   ANIS
Affiliation:Department of Anesthesiology, American University of Beirut, Beirut Lebanon.
Abstract:Fifteen cases of elective Caesarean section at term were studiedunder general anaesthesia. Maternal carbon dioxide tensionswere controlled by adjusting the minute ventilation volume;Paco2 ranged from 13 to 80 mm Hg. Maternal oxygen tensions werecontrolled by changing the inspired oxygen concentrations (20,33.3, 50, or 100 per cent); Pao2 ranged from 78 to 500 mm Hg.Umbilical vein Po2 and Pco2 of the newborn varied accordingto the maternal level. Foetal Pco2 was always higher than maternalPaoo2; the mean maternal-foetal gradient was 11.3 mm Hg (SD4.7). Foetal Po2 was positively correlated with maternal Pao2within the range 78 to 200–300 mm Hg, but was not correlatedwith further elevation of maternal Pao2 from 200 to 500 mm Hg.This might be attributed to the shape of Hbo2 dissociation curve.
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