Accuracy of End-Tidal Co2 Capnometers in Post-Cardiac Surgery Patients During Controlled Mechanical Ventilation

Heines, Serge J. H.; Strauch, Ulrich; Roekaerts, P. M. H. J.; Winkens, Björn; Bergmans, Dennis C. J. J.

doi:10.1016/j.jemermed.2012.11.019

Cited by 20 publications

(14 citation statements)

References 12 publications

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“…The capnometer generally used during CPR at these hospitals and used exclusively in this study is a self‐contained highly portable mainstream continuous carbon dioxide monitoring device convenient for use in the emergency room setting. This specific capnometer has been validated for use in people in experimental settings and in ventilated postoperative patients, and found to correlate well with traditional PetCO 2 monitors in use. Unfortunately, missing capnometry data and malfunctioning capnometers were the most common reasons that clinicians at our hospitals cited for not enrolling patients in this study.…”

Section: Discussionmentioning

confidence: 96%

Evaluation of end‐tidal carbon dioxide as a predictor of return of spontaneous circulation in dogs and cats undergoing cardiopulmonary resuscitation

Hogen¹,

Cole²,

Drobatz

2018

J Vet Emergen Crit Care

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Section: Discussionmentioning

confidence: 96%

Evaluation of end‐tidal carbon dioxide as a predictor of return of spontaneous circulation in dogs and cats undergoing cardiopulmonary resuscitation

Hogen¹,

Cole²,

Drobatz

2018

J Vet Emergen Crit Care

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“…To date only the subjective clinical assessment, oxygen saturation and end-tidal or transcutaneous CO 2 monitor are the only noninvasive means to monitor any deterioration and the need of any respiratory intervention. Heine et al observed a good correlation between end tidal (et) CO 2 and PaCO 2 ; however, they suggested that etCO 2 measurements were not valid to estimate PaCO 2 [8]. In another study performed by Nishiyama et al, it was concluded that transcutaneous PCO 2 might be useful as noninvasive monitors of CO 2 status during general anesthesia, but the absolute values are not interchangeable with PaCO 2 [9].…”

Section: Discussionmentioning

confidence: 99%

The Application of a Novel Non-Invasive Respiratory Monitor (ExSpiron™) in the Extubation of a Patient With Persistent Upper Airway Swelling

Williams¹

2014

J Med Cases

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A 45-year-old female s/p right-sided cerebropontine angle tumor resection had a post-operative course which was complicated by severe sub-lingual swelling and required urgent post-operative intubation. Due to pharyngeal swelling, intubation failed with a Glidescope ® requiring a laryngeal mask airway (LMA) facilitated fiberoptic-Aintree exchange. When the patient was extubated 3 days later, monitoring for respiratory deterioration was necessary to avoid the morbidity of urgent re-intubation. The ExSpiron TM was utilized for 2.5 hours following extubation, displaying her tidal volume, respiratory rate and minute ventilation. Following extubation, the patient's neuroscience intensive care unit course was uneventful.

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“…Capnography (category B-1). Sufficient evidence exists validating capnography as an effective method to monitor for respiratory compromise (Heines, Strauch, Roekaerts, Winkens, & Bergmans, 2013;Kim, Choi, Bang, & Lee, 2016). Capnography is Table 6 Assessment Strategies…”

Section: Recommendation 10mentioning

confidence: 99%

American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions

Jungquist

Quinlan-Colwell

Vallerand

et al. 2020

Pain Management Nursing

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a b s t r a c tObjectives: This report presents up-to-date evidence and expert consensus-based revisions to the ASPMN 2011 guidelines that inform interprofessional clinical decision-making for hospitalized adults receiving opioid analgesics. Design: Systematic review of the literature. Methods: A 14-member expert panel was charged with reviewing and grading the strength of scientific evidence published in peer reviewed journals and revising the ASPMN 2011 existing guidelines. Panel members formulated recommendations based on the strength of evidence and reached consensus through discussion, reappraisal of evidence, and voting by majority when necessary. The American Society of Anesthesiologists evidence categories for grading and classifying the strength of the evidence were used. Recommendations were subjected to a critical review by ASPMN members as well as external reviews. Results: The 2011 guidelines were found to still be relevant to clinical practice, but new evidence substantiated refinement and more specific recommendations for electronic monitoring. The revised guidelines present risk factors divided into three categories: patient-specific, treatment-related, and environment of care. Specific recommendations for the use of electronic monitoring are delineated. Conclusions: All hospitalized patients that are administered opioids for acute pain are at risk of opioid induced advancing sedation and respiratory depression, but some patients are at high risk and require extra vigilance to prevent adverse events. All patients must be assessed for level of risk. Adaptations to the plan of care and monitoring strategies should be driven by iterative re-assessments according to level of risk.

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Accuracy of End-Tidal Co2 Capnometers in Post-Cardiac Surgery Patients During Controlled Mechanical Ventilation

Cited by 20 publications

References 12 publications

Evaluation of end‐tidal carbon dioxide as a predictor of return of spontaneous circulation in dogs and cats undergoing cardiopulmonary resuscitation

Evaluation of end‐tidal carbon dioxide as a predictor of return of spontaneous circulation in dogs and cats undergoing cardiopulmonary resuscitation

The Application of a Novel Non-Invasive Respiratory Monitor (ExSpiron™) in the Extubation of a Patient With Persistent Upper Airway Swelling

American Society for Pain Management Nursing Guidelines on Monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression: Revisions

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