An Evaluation of the Hellige Transoxode (Servomed Oxymonitor SM 361 System): Response to Halothane and Enflurane in Vitro

Author:

Downing J. W.12,Mankowitz M.13,Brock-Utne J. G.14,Holloway A. M.14

Affiliation:

1. King Edward VIII Hospital, Durban R.S.A.

2. Professor and Head: Department of Anaesthetics, King Edward VIII Hospital, Durban R.S.A.

3. Senior Anaesthetist.

4. Principal Anaesthetist/Senior Lecturer.

Abstract

The effects of halothane (0.5-2%) and enflurane (1-4%) on two Transoxode transcutaneous oxygen (TcPO2) electrodes (Hellige Servomed Oxymonitor SM.361 system) were serially tested in atmospheres of nitrogen, air and 50% nitrous oxide in oxygen. Both TcPO2 electrodes reduced and “read” halothane but not enflurane. Calibration drift was significantly greater (p < 0.05) after electrode exposure to halothane; 5.40 s.e.m. 1.37 kPa vs enflurane; – 0.60 s.e.m. 0.93 kPa. Halothane has a direct effect in rendering the Transoxode inaccurate, which is probably clinically less important than the indirect cardiovascularly medicated influence of both halothane and enflurane on TcPO2 levels. A reduction in the electrode polarisation voltage is recommended to obviate the direct effect of halothane on Transoxode performance.

Publisher

SAGE Publications

Subject

Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine

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