Deep Breathing Improves End-Tidal Carbon Dioxide Monitoring of an Oxygen Nasal Cannula-Based Capnometry Device in Subjects Extubated After Abdominal Surgery.
BACKGROUND: Capnometry detects hypoventilation earlier than pulse oximetry while supplemental oxygen is being administered. We compared the end-tidal CO2 (...) measured using a newly developed oxygen nasal cannula with a CO2-sampling port and the ... in extubated subjects after abdominal surgery. We...
| Publicado en: | Respiratory Care Vol. 62; no. 1; pp. 86 - 92 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Jan2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120544361&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120544361 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00201324 4GG jtl: Respiratory Care issn: 00201324 maglogo: N pubinfo: dt: Jan2017 vid: 62 iid: 1 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 120544361 120544361 120544361 10.4187/respcare.04634 120544361 ppf: 86 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Deep Breathing Improves End-Tidal Carbon Dioxide Monitoring of an Oxygen Nasal Cannula-Based Capnometry Device in Subjects Extubated After Abdominal Surgery. aug: au: Shunsuke Takaki Kenji Mizutani Moeka Fukuchi Tasuku Yoshida Masahumi Idei Yuko Matsuda Yoshikazu Yamaguchi Tetsuya Miyashita Takeshi Nomura Osamu Yamaguchi Takahisa Goto affil: Intensive Care Unit, Yokohama City University, Yokohama, Kanagawa, Japan sug: subj: Capnography Carbon Dioxide Analysis Oxygen Analysis Nasal Cannula Abdomen Surgery Extubation Respiration Postoperative Care Human Oxygen Therapy Equipment and Supplies Descriptive Statistics Reliability Comparative Studies Hypoventilation Prevention and Control Validity Anesthesia Academic Medical Centers Japan Adult Spectrophotometry P-Value Data Analysis Software Pearson's Correlation Coefficient One-Way Analysis of Variance Male Female Aged Middle Age Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Male Female ab: BACKGROUND: Capnometry detects hypoventilation earlier than pulse oximetry while supplemental oxygen is being administered. We compared the end-tidal CO2 (...) measured using a newly developed oxygen nasal cannula with a CO2-sampling port and the ... in extubated subjects after abdominal surgery. We also investigated whether the difference between ... and ... is affected by resting, by spontaneous breathing with the mouth consciously closed, and by deep breathing with the mouth closed. METHODS: Adult post-abdominal surgery subjects admitted to the ICU were enrolled. After extubation, oxygen was supplied at 4 L/min using a capnometry-type oxygen cannula. The breathing frequency, ... and ... were measured after 30 min of oxygen supplementation. PETro was continuously measured during rest, during breathing with the mouth consciously closed, and during deep breathing with the mouth closed. The difference between ... and ... during various breathing patterns was analyzed using the Bland-Altman method. RESULTS: Twenty subjects were included. The bias ± SD (limits of agreement) for breathing frequency measured by capnometry compared with those obtained by direct measurement was 0.4 ± 3.6 (-6.7 to 7.4). In ... compared with ..., the biases (limits of agreement) were 14.8 ± 8.2 (-1.3 to 30.9) at rest, 10.2 ± 6.4 (-2.3 to 22.7) with the mouth closed, and 7.7 ± 5.6 (-3.2 to 18.6) for deep breathing with the mouth closed. ... determined using the capnometry device yielded unreliable and widely ranging values under various breathing patterns. However, deep breathing with the mouth closed decreased the difference between ... and ..., as compared with other breathing patterns. CONCLUSIONS: ... measurements under deep breathing with mouth closed with a capnometry-type oxygen cannula improved the prediction of the absolute value of ... in extubated post-abdominal surgical subjects without respiratory dysfunction. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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