Transcutaneous carbon dioxide monitoring for the prevention of neonatal morbidity and mortality

Bruschettini, Matteo; Romantsik, Olga; Zappettini, Simona; Ramenghi, Luca A.; Calevo, Maria Grazia

doi:10.1002/14651858.cd011494

Cited by 6 publications

(8 citation statements)

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“…Hyperoxia is associated with periventricular leukomalacia and retinopathy of prematurity, while hypoxia has been shown to cause ischemia and is related to a higher chance of mortality. 7 Transcutaneous monitoring provides a method to continuously monitor CO 2 and O 2 , and in a recent Cochrane review, Bruschettini et al 14 called for additional studies demonstrating safety and efficacy in transcutaneous monitoring. More studies are needed to evaluate long-term outcomes of the use of transcutaneous monitoring.…”

Section: Discussionmentioning

confidence: 99%

Effect of Transcutaneous Electrode Temperature on Accuracy and Precision of Carbon Dioxide and Oxygen Measurements in the Preterm Infants

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Effect of Transcutaneous Electrode Temperature on Accuracy and Precision of Carbon Dioxide and Oxygen Measurements in the Preterm Infants

et al. 2018

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“…The Cochrane Neonatal Review Groups concluded that there was no evidence to recommend or refute the use of tcPCO 2 monitoring to prevent neonatal morbidity and mortality . However, the use of tcPCO 2 monitoring decreased the frequency of blood gas samplings among ventilated neonates without affecting the duration of mechanical ventilation or clinical outcome . The Neonatal Research Network in Japan, has reported the progress in survival and neurodevelopmental outcome of the infants born at the “limit of viability” .…”

Section: Discussionmentioning

confidence: 99%

Transcutaneous blood gas monitoring among neonatal intensive care units in Japan

Ochiai

Kurata

Inoue

et al. 2020

Pediatrics International

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Background This study aimed to investigate the utility of transcutaneous (tc) measurements of partial pressure of oxygen (tcPO2) and carbon dioxide (tcPCO2) monitoring in neonatal intensive care units (NICUs) in Japan. Methods At the end of 2016,we sent a survey questionnaire on tc monitoring to all 106 NICUs registered with the Japanese Neonatologist Association. The questions included usage, subjects, methods, management, and the practical usefulness of tc monitoring. Results The questionnaire was returned by 69 NICUs (65.1% of response rate). Seventeen institutions (24.6%) measured both tcPCO2 and tcPO2, and 42 (60.9%) measured tcPCO2 alone. Transcutaneous PCO2 or tcPO2 monitoring was applied for “pre‐viable” infants born at 22–23 weeks’ gestational age (18.6% vs 23.5%), and infants of <500 g birthweight (30.5% vs 17.6%). The tcPCO2 and tcPO2 monitoring was started at birth in 49.2% and 70.6% of the newborn infants, respectively. The temperature of the sensor was set at <38°C for tcPCO2 in 54.3% and >42°C for tcPO2 in 58.9% of NICUs. The accuracy for tcPO2 was rated as good in 35.3% or moderate in 64.7%, of institutions but or for tcPCO2 as 1.7% or 93.2%of institutions , respectively. Conclusion Transcutaneous monitoring was widely, but limitedly, used for preterm infants. The lower temperature of the tcPCO2 sensor compared to that reported in other developed countries might compromise the accuracy but increase the feasibility of tc monitoring in Japan.

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“…Even though a large number of studies have investigated transcutaneous PCO 2 in the field of neonatology, a Cochrane Collaboration review concluded that there was no evidence to recommend the use of transcutaneous CO 2 monitoring in neonates (53).…”

Section: Transcutaneous Pco 2 (Pcco 2 )mentioning

confidence: 99%

Regional capnometry to evaluate the adequacy of tissue perfusion

Bar

Fischer²

2019

J. Thorac. Dis

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Tissue hypoperfusion is a major cause of morbidity and mortality in critically ill patients but cannot always be detected by measuring standard whole-body hemodynamic and oxygen-related parameters (e.g., blood pressure, cardiac output, and central venous oxygen saturation). Preclinical and clinical studies have demonstrated that low-flow states are consistently associated with large increases in venous and tissue PCO 2. Monitoring regional PCO 2 with gastric tonometry (PgCO 2) is known to have independent prognostic value for predicting postoperative complications and mortality. The PgCO 2 gap might also be of value as a treatment target (endpoint) in critically ill patients. However, this tool has several limitations and has not yet been developed commercially, thus restricting its use. Regional capnography with sublingual and transcutaneous sensors might be an alternative noninvasive option for evaluating the adequacy of tissue perfusion in critically ill patients. However, further studies are needed to determine whether or not this monitoring technique is of value-particularly as an endpoint for guiding resuscitation. Bladder PCO 2 , has only been evaluated in animal studies, and so remains to be validated in patients.

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Transcutaneous carbon dioxide monitoring for the prevention of neonatal morbidity and mortality

Cited by 6 publications

References 46 publications

Effect of Transcutaneous Electrode Temperature on Accuracy and Precision of Carbon Dioxide and Oxygen Measurements in the Preterm Infants

Effect of Transcutaneous Electrode Temperature on Accuracy and Precision of Carbon Dioxide and Oxygen Measurements in the Preterm Infants

Transcutaneous blood gas monitoring among neonatal intensive care units in Japan

Regional capnometry to evaluate the adequacy of tissue perfusion

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