Transcutaneous Carbon Dioxide Monitoring in Subjects With Acute Respiratory Failure and Severe Hypercapnia.
BACKGROUND: Transcutaneous carbon dioxide (...) monitoring is being used increasingly to assess acute respiratory failure. However, there are conflicting findings concerning its reliability when evaluating patients with high levels of .... Our study evaluates the accuracy of this method in subjects...
| Published in: | Respiratory Care Vol. 61; no. 4; pp. 428 - 434 |
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| Main Authors: | , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Mary Ann Liebert, Inc.
Apr2016
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114257409&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 114257409 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Apr2016 vid: 61 iid: 4 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 114257409 114257409 114257409 10.4187/respcare.04283 114257409 ppf: 428 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Transcutaneous Carbon Dioxide Monitoring in Subjects With Acute Respiratory Failure and Severe Hypercapnia. aug: au: Ruiz, Yolanda Farrero, Eva Cordoba, Ana Gonzalez, Nuria Dorca, Jordi Prats, Enric affil: Respiratory Department, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, Spain sug: subj: Carbon Dioxide Respiratory Failure Hypercapnia Blood Gas Monitoring, Transcutaneous Comorbidity Monitoring, Physiologic Methods Human Male Female Pearson's Correlation Coefficient Analysis of Variance Reliability Instrument Validation Pulmonary Disease, Chronic Obstructive Diagnosis Disease Exacerbation Prospective Studies Descriptive Statistics P-Value Data Analysis Software Middle Age Aged Body Mass Index Middle Aged: 45-64 years Aged: 65+ years Male Female ab: BACKGROUND: Transcutaneous carbon dioxide (...) monitoring is being used increasingly to assess acute respiratory failure. However, there are conflicting findings concerning its reliability when evaluating patients with high levels of .... Our study evaluates the accuracy of this method in subjects with respiratory failure according to the severity of hypercapnia. METHODS: We included subjects with respiratory failure, admitted to a respiratory intermediate care unit, who required arterial blood gas analysis. Simultaneously, ... was measured using a digital monitor. Relations between ... and ... were assessed by the Pearson correlation coefficient. Bland-Altman analysis was used to test data dispersion, and an analysis of variance test was used to compare the differences between ... and the corresponding ... at different levels (level 1, <50 mm Hg; level 2, 50-60 mm Hg; level 3, >60 mm Hg). RESULTS: Eighty-one subjects were analyzed. The main diagnosis was COPD exacerbation (45%). ... correlated well with ... (r2 = 0.93, P < .001). Bland-Altman analysis showed a mean ... - PtcCO2 difference of 4.9 ± 4.4 with 95% limits of agreement ranging from -3.6 to 13.4. The difference between variables increased in line with ... severity: level 1, 1.7 ± 3.2 mm Hg; level 2, 3.7 ± 2.8; level 3, 6.8 ± 4.7 (analysis of variance, P < .001). CONCLUSIONS: Our study showed an acceptable agreement of ... monitoring with arterial blood gas analysis. However, we should consider that ... underestimates ... levels, and its accuracy depends on the level of hypercapnia, so this method would not be suitable for acute patients with severe hypercapnia. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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