2020
DOI: 10.1007/s10877-020-00569-w
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Comparison of arterial CO2 estimation by end-tidal and transcutaneous CO2 measurements in intubated children and variability with subject related factors

Abstract: Transcutaneous PCO 2 (P TC CO 2 ) and end-tidal PCO 2 (P ET CO 2 ) measurement methods serve as alternatives to arterial PCO 2 (PaCO 2 ), providing continuous non-invasive monitoring. The objective of this study was to evaluate the P TC CO 2 and P ET CO … Show more

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Cited by 10 publications
(7 citation statements)
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“…In this case, the use of transcutaneous PCO 2 may be of value, even though the arterial blood gas remains the gold standard. 22 The present study has several limitations. First, owing to its observational design, there was a variable I/E ratio, heterogeneity in the ventilation mode used; in addition, there was no recruitment manoeuvre with probable subsequent inhomogeneity of alveolar ventilation.…”
Section: Discussionmentioning
confidence: 83%
See 1 more Smart Citation
“…In this case, the use of transcutaneous PCO 2 may be of value, even though the arterial blood gas remains the gold standard. 22 The present study has several limitations. First, owing to its observational design, there was a variable I/E ratio, heterogeneity in the ventilation mode used; in addition, there was no recruitment manoeuvre with probable subsequent inhomogeneity of alveolar ventilation.…”
Section: Discussionmentioning
confidence: 83%
“…However, anaesthesiologists should be aware of the risk of underestimating P aCO 2 when using EtCO 2 in the context of high Vd/Vt ratio. In this case, the use of transcutaneous P CO 2 may be of value, even though the arterial blood gas remains the gold standard 22 …”
Section: Discussionmentioning
confidence: 99%
“…Transcutaneous CO 2 monitoring has most commonly been used in the neonatal intensive care unit even though it is useful in all age groups, even adults. It has been shown to be more accurate than EtCO 2 in children with ventilation-perfusion abnormalities (23), in neonates and infants undergoing surgery (24) and children in the ICU who are intubated on mechanical ventilation (25). Therefore, tCO 2 presents an alternative to EtCO 2 that is more accurate and is less invasive method than arterial blood sampling.…”
Section: Discussionmentioning
confidence: 99%
“…In diseased lungs, results vary greatly between studies, with moderate correlations and large dispersion around the reference PaCO 2 value [ 8 , 15 ]. While the measurement of transcutaneous PCO 2 yields better results, its use is essentially limited to the paediatric intensive care unit [ 23 ].…”
Section: Discussionmentioning
confidence: 99%