Usefulness of Transcutaneous Carbon Dioxide Pressure Monitoring to Measure Blood Gases in Adults Hospitalized for Respiratory Disease

Herrejón, Alberto; Inchaurraga, Ignacio; Palop, J.; Ponce, Silvia; Peris, Ricardo; Terrádez, Manuel; Blanquer, Rafael

doi:10.1016/s1579-2129(06)60450-3

Cited by 10 publications

(4 citation statements)

References 13 publications

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“…Despite slightly overestimating PaCO 2 , TcCO 2 has an excellent agreement with PaCO 2 in stable patients with NIPPV (r: 0.97, P Ͻ 0.001) 37 and in patients with critical illness. 38,39 New technology using earlobe sensor 38 provides an excellent agreement between TcCO 2 and PaCO 2 (r: 0.98, P Ͻ 0.0001). 40 TcCO 2 has the advantage of being non-invasive, and easy to use.…”

Section: Pco 2 Measurement: Invasive or Non-invasive Technique?mentioning

confidence: 96%

Review Article: Mechanical ventilation in Duchenne patients with chronic respiratory insufficiency: clinical implications of 20 years published experience

Toussaint¹,

Chatwin

Soudon³

2007

Chron Respir Dis

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Chronic respiratory insufficiency is inevitable in the course of disease progression in patients with Duchenne muscular dystrophy (DMD). Without mechanical ventilation (MV), morbidity and mortality are highly likely towards the end of the second decade of life. The present review reports evidence and clinical implications regarding DMD patients treated with MV. There is no doubt that nocturnal hypercapnia precedes daytime hypercapnia. Historical comparisons have provided evidence that non-invasive intermittent positive pressure ventilation (NIPPV) at night is effective and improves quality of life and survival by 5-10 years. By contrast, the optimal criteria and timing for initiation of NIPPV are inconsistent. A recent randomized study however demonstrated the benefits of commencing NIPPV as soon as nocturnal hypoventilation is detected (Ward S, et al., Randomised controlled trial of non-invasive ventilation (NIV) for nocturnal hypoventilation in neuromuscular and chest wall disease patients with daytime normocapnia. Thorax 2005; 60: 1019-24). The respective role of the three hypotheses of the indirect action of nocturnal NIPPV on daytime blood gases may be complimentary; the main improvement may be due to improved ventilatory response to CO2. The ultimate time to offer full time ventilation with the most advantageous interface is lacking in evidence. Full time NIV is possible with a combination of a nasal mask during the night and a mouthpiece during the day, however tracheostomy may be provided when mechanical techniques of cough-assistance are useless to treat chronic cough insufficiency.

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Section: Pco 2 Measurement: Invasive or Non-invasive Technique?mentioning

confidence: 96%

Review Article: Mechanical ventilation in Duchenne patients with chronic respiratory insufficiency: clinical implications of 20 years published experience

Toussaint¹,

Chatwin

Soudon³

2007

Chron Respir Dis

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“…Herrejon et al [10], Cuvelier et al [11], and Janssens et al [12] have demonstrated that values obtained with a TcP CO 2 monitor are accurate in adult patients with respiratory disorders, healthy adult volunteers, and elderly subjects breathing spontaneously, respectively. Casati et al [13] have found that a TcP CO 2 monitor is more accurate than an EtP CO 2 monitor in subjects receiving artifi cial ventilation via tracheal intubation, a result consistent with our present fi ndings.…”

Section: Discussionmentioning

confidence: 99%

Transcutaneous % MathType!MTEF!2!1!+- % feaagaart1ev2aaatCvAUfKttLearuqr1ngBPrgarmWu51MyVXgatC % vAUfeBSjuyZL2yd9gzLbvyNv2CaeHbd9wDYLwzYbItLDharyavP1wz % ZbItLDhis9wBH5garqqtubsr4rNCHbGeaGqipC0xg9qqqrpepC0xbb % L8F4rqqrFfpeea0xe9Lq-Jc9vqaqpepm0xbba9pwe9Q8fs0-yqaqpe % pae9pg0FirpepeKkFr0xfr-xfr-xb9adbaqaaeGaciGaaiaabeqaam % aaeaqbaaGcbaacbaGae8huaa1aaSbaaSqaaiadmc4FdbWqcWaJa+3t % a80aaSbaaWqaaeXafv3ySLgzGmvETj2BSbacgaqcLbnacWaJO5Nmai % dameqaaaWcbeaaaaa!4883! $$ P_{CO_2 } $$ monitors are more accurate than

et al. 2009

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“…As clinicians opt for less invasive assessments of respiratory function such as capnography, pulse oximetry and spirometry, ABG may be indicated only to confirm the patient's status, for example acute asthma and chronic obstructive pulmonary disease (COPD) [13][14][15][16] .…”

Section: Indicationsmentioning

confidence: 99%

Arterial Blood Gases

Yap

2011

Proceedings of Singapore Healthcare

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Arterial blood gases (ABG) results reflect underlying pathology and interpretation of the results are often compounded by ongoing disease processes and clinical interventions. While ABG specimens should be analysed immediately for optimal results the Clinical and Laboratory Standards Institute (CLSI) has recommended a window of 30 minutes at room temperature from blood collection to ABG analysis. A fresh and simple approach to interpreting ABG is provided.

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Usefulness of Transcutaneous Carbon Dioxide Pressure Monitoring to Measure Blood Gases in Adults Hospitalized for Respiratory Disease

Cited by 10 publications

References 13 publications

Review Article: Mechanical ventilation in Duchenne patients with chronic respiratory insufficiency: clinical implications of 20 years published experience

Review Article: Mechanical ventilation in Duchenne patients with chronic respiratory insufficiency: clinical implications of 20 years published experience

Arterial Blood Gases

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