CO2 measurements during transcranial Doppler examinations in headache patients: methodological considerations
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CO2 measurements during transcranial Doppler examinations in headache patients : methodological considerations. / Thomsen, L L; Iversen, Helle Klingenberg.
In: Cephalalgia : an international journal of headache, Vol. 14, No. 3, 06.1994, p. 245-7.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - CO2 measurements during transcranial Doppler examinations in headache patients
T2 - methodological considerations
AU - Thomsen, L L
AU - Iversen, Helle Klingenberg
PY - 1994/6
Y1 - 1994/6
N2 - Transcranial Doppler (TCD) examinations are increasingly being used in studies of headache pathophysiology. Because blood velocity is highly dependent on PCO2, these parameters should be measured simultaneously. The most common way of performing measurements during TCD examinations is as end-tidal pCO2 with a capnograph. When patients are nauseated and vomit, as in migraine, the mask or mouthpiece connected to the capnograph represents a problem. We therefore evaluated whether a transcutaneous pCO2 electrode was as useful as the capnograph for pCO2 measurements in TCD examinations. We conclude that this is not the case, and recommend capnographic end-tidal pCO2 measurements during TCD examinations. However, transcutaneous pCO2 measurements may represent a supplement to spot measurements of end-tidal pCO2 in stable conditions when long-term monitoring is needed, and the mask or mouthpiece of the capnograph has to be taken on and off between recordings.
AB - Transcranial Doppler (TCD) examinations are increasingly being used in studies of headache pathophysiology. Because blood velocity is highly dependent on PCO2, these parameters should be measured simultaneously. The most common way of performing measurements during TCD examinations is as end-tidal pCO2 with a capnograph. When patients are nauseated and vomit, as in migraine, the mask or mouthpiece connected to the capnograph represents a problem. We therefore evaluated whether a transcutaneous pCO2 electrode was as useful as the capnograph for pCO2 measurements in TCD examinations. We conclude that this is not the case, and recommend capnographic end-tidal pCO2 measurements during TCD examinations. However, transcutaneous pCO2 measurements may represent a supplement to spot measurements of end-tidal pCO2 in stable conditions when long-term monitoring is needed, and the mask or mouthpiece of the capnograph has to be taken on and off between recordings.
KW - Adult
KW - Blood Flow Velocity
KW - Blood Gas Monitoring, Transcutaneous
KW - Brain
KW - Carbon Dioxide
KW - Female
KW - Headache
KW - Humans
KW - Male
KW - Middle Aged
KW - Migraine Disorders
KW - Monitoring, Physiologic
KW - Tidal Volume
KW - Ultrasonography, Doppler, Transcranial
M3 - Journal article
C2 - 7954748
VL - 14
SP - 245
EP - 247
JO - Cephalalgia
JF - Cephalalgia
SN - 0800-1952
IS - 3
ER -
ID: 128984251