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PaCO 2 Management — Conclusions. Avoid hypercapnia Define PaCO 2 /ETCO 2 gradient Modest hyperventilation (PaCO 2 = 33–35 mmHg) if using volatile anesthetics Modest hyperventilation if patient is dying of intracranial hypertension and surgical repair is imminent
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PaCO2Management —Conclusions • Avoid hypercapnia • Define PaCO2/ETCO2gradient • Modest hyperventilation (PaCO2 = 33–35 mmHg) if using volatile anesthetics • Modest hyperventilation if patient is dying of intracranial hypertension and surgical repair is imminent • Wait for surgical conditions to define requisite change in PaCO2