Transcutaneous Noninvasive Monitoring of Carbon Dioxide Tension
| Autor: | Larry W. Haldeman, Sherry Lindsey, Gary H. Greenspan, Cynthia S. Martin, A. Jay Block |
|---|---|
| Rok vydání: | 1981 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine Partial Pressure Pulmonary disease Critical Care and Intensive Care Medicine chemistry.chemical_compound Hemodynamically stable Forearm Humans Medicine Acute respiratory failure In patient New device Lung Diseases Obstructive Postoperative Period Respiratory system Aged business.industry Carbon Dioxide Middle Aged medicine.anatomical_structure chemistry Anesthesia Carbon dioxide Blood Gas Analysis Pulmonary Ventilation Cardiology and Cardiovascular Medicine business |
| Zdroj: | Chest. 80:442-446 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.80.4.442 |
| Popis: | We evaluated the accuracy of a new device for continuous noninvasive measurement of cutaneous Pco 2 . The Hewlett-Packard capnometer (model 47210/HA) works by means of an infrared transducer applied to the forearm over an area of skin that has been stripped of the stratum corneum. Capnometer transcutaneous carbon dioxide pressure (CPco 2 ) was compared with arterial carbon dioxide pressure (PaCO 2 ) during 60 simultaneously obtained measurements in 13 hemodynamically stable patients. Each patient was studied for 1½ to 5 hours, and a wide range of PaCO 2 values (21 to 82 mm Hg) was represented. The data show a clinically significant relationship whereby PaCO 2 = CPco 2 – 4.13, with a SE of ± 2.19 mm Hg. Clinical usefulness of noninvasive cutaneous CO 2 monitoring can be foreseen in patients whose ventilatory support is being tapered, in those with respiratory depression caused by various neuromuscular disorders, and in patients with chronic obstructive pulmonary disease and acute respiratory failure. Our results indicate that continuous transcutaneous CPco 2 measurements are safe and accurate and strongly suggest that they can be of clinical usefulness in a select group of hemodynamically stable patients. |
| Databáze: | OpenAIRE |
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