scholarly journals Comparison of Simultaneous Capillary Blood Gases and End-Tidal Carbon Dioxide in Mechanically Ventilated Pediatric Patients with Acute Respiratory Failure

Author(s):  
Capan Konca ◽  
Mehmet Tekin ◽  
Fatih Uckardes ◽  
Samet Benli ◽  
Ahmet Kucuk

AbstractIn the follow-up of ventilation, invasive blood gas analysis and noninvasive monitoring of end-tidal carbon dioxide (ETCO2) are used. We aimed to investigate the relationship between capillary partial pressure of carbon dioxide (PcCO2) levels and ETCO2 and also to investigate ETCO2's predictive feature of PcCO2 levels. This study included 28 female and 30 male pediatric patients; 28 patients were type-1 respiratory failure (RF), 16 patients were acute respiratory distress syndrome, and 14 patients were type-2 RF. Our results showed a significant correlation between ETCO2 and PcCO2. Although the strength of the correlation was weak throughout the measurements, the strength of this correlation increased significantly in type-2 RF.

2011 ◽  
Vol 20 (5) ◽  
pp. 388-394
Author(s):  
Carmen Caroline Rasera ◽  
Pedro Miguel Gewehr ◽  
Adriana Maria Trevisan Domingues ◽  
Fernando Faria Junior

BackgroundRespiratory monitoring is important after surgery to prevent pulmonary complications. End-tidal carbon dioxide (Petco2) measurement by capnometry is an indirect and noninvasive measurement of Pco2 in blood and is accepted and recognized in critical care.ObjectivesTo determine the correlation and level of agreement between Petco2 and Paco2 in spontaneously breathing children after cardiac surgery and to determine whether Petco2 measured by using tidal volume (Vt-Petco2) or vital capacity (VC-Petco2) shows more or less significant correlation with Paco2.MethodsVt-Petco2 and VC-Petco2 by capnometry and Paco2 by blood gas analysis were measured once a day after tracheal extubation. The determination coefficient and degree of bias between the methods were assessed in children with and without supplemental oxygen.ResultsA total of 172 Vt-Petco2, VC-Petco2, and Paco2 values from 48 children were analyzed. The overall coefficients of determination were 0.84 (P < .001) for Vt-Petco2 and Paco2 and 0.62 (P = .02) for VC-Petco2 and Paco2. The mean gradient for Paco2 to Petco2 in all groups increased with the increase in supplemental oxygen; the gradient was significantly larger in the groups given 2 to 5 L of oxygen per minute.ConclusionsIn spontaneously breathing children, Vt-Petco2 provided a more accurate estimate of Paco2 than did VC-Petco2, especially in children given little or no supplemental oxygen. The difference between the methods was significantly larger in the groups given 2 to 5 L of oxygen per minute.


2009 ◽  
Vol 28 (2) ◽  
pp. 51-55
Author(s):  
Linda Connor ◽  
David Zurakowski ◽  
Allyson Stazinski ◽  
Kathy Bucci ◽  
Shann MacPherson ◽  
...  

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