Transcutaneous PTCCO2 measurement in combination with arterial blood gas analysis provides superior accuracy and reliability in ICU patients.
Hyper or hypoventilation may have serious clinical consequences in critically ill patients and should be generally avoided, especially in neurosurgical patients. Therefore, monitoring of carbon dioxide partial pressure by intermittent arterial blood gas analysis (PaCO2) has become standard in intens...
| Publicado en: | Journal of Clinical Monitoring & Computing Vol. 31; no. 1; pp. 153 - 159 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2017
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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=120844372&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120844372 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13871307 OHC jtl: Journal of Clinical Monitoring & Computing issn: 13871307 maglogo: N pubinfo: dt: Feb2017 vid: 31 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 120844372 120844372 NLM26628269 120844372 10.1007/s10877-015-9810-8 NLM26628269 120844372 ppf: 153 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Transcutaneous PTCCO2 measurement in combination with arterial blood gas analysis provides superior accuracy and reliability in ICU patients. aug: au: Spelten, Oliver Schier, Robert Wetsch, Wolfgang Hinkelbein, Jochen Fiedler, Fritz Wetsch, Wolfgang A affil: Department of Anaesthesiology and Intensive Care Medicine , University Hospital of Cologne , Kerpener Str. 62 50931 Cologne Germany sug: subj: Blood Gas Analysis Methods Blood Gas Monitoring, Transcutaneous Methods Intensive Care Units Monitoring, Physiologic Methods Respiration, Artificial Methods Male Female Adult Sample Size Partial Pressure Critical Illness Aged Reproducibility of Results Carbon Dioxide Blood Critical Care Middle Age Time Factors Cost Benefit Analysis Human Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Male Female ab: Hyper or hypoventilation may have serious clinical consequences in critically ill patients and should be generally avoided, especially in neurosurgical patients. Therefore, monitoring of carbon dioxide partial pressure by intermittent arterial blood gas analysis (PaCO2) has become standard in intensive care units (ICUs). However, several additional methods are available to determine PCO2 including end-tidal (PETCO2) and transcutaneous (PTCCO2) measurements. The aim of this study was to compare the accuracy and reliability of different methods to determine PCO2 in mechanically ventilated patients on ICU. After approval of the local ethics committee PCO2 was determined in n = 32 ICU consecutive patients requiring mechanical ventilation: (1) arterial PaCO2 blood gas analysis with Radiometer ABL 625 (ABL; gold standard), (2) arterial PaCO2 analysis with Immediate Response Mobile Analyzer (IRMA), (3) end-tidal PETCO2 by a Propaq 106 EL monitor and (4) transcutaneous PTCCO2 determination by a Tina TCM4. Bland-Altman method was used for statistical analysis; p < 0.05 was considered statistically significant. Statistical analysis revealed good correlation between PaCO2 by IRMA and ABL (R2 = 0.766; p < 0.01) as well as between PTCCO2 and ABL (R2 = 0.619; p < 0.01), whereas correlation between PETCO2 and ABL was weaker (R2 = 0.405; p < 0.01). Bland-Altman analysis revealed a bias and precision of 2.0 ± 3.7 mmHg for the IRMA, 2.2 ± 5.7 mmHg for transcutaneous, and -5.5 ± 5.6 mmHg for end-tidal measurement. Arterial CO2 partial pressure by IRMA (PaCO2) and PTCCO2 provided greater accuracy compared to the reference measurement (ABL) than the end-tidal CO2 measurements in critically ill in mechanically ventilated patients patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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