Document Detail


ETCO2 monitoring during low flow states: clinical aims and limits.
MedLine Citation:
PMID:  8191021     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
End-tidal carbon dioxide concentration in the expired air (ETCO2) is measured with different technologies. ETCO2 allows the global evaluation of three main body functions: metabolism, circulation and ventilation. If two of these parameters are held constant, changes in ETCO2 reflect a variation of the third. Thus, ETCO2 is now widely used as a reliable monitoring device in various clinical settings. In the past years several studies proposed ETCO2 as a noninvasive monitor for the evaluation of therapeutic efforts during low-flow states, and especially during cardiopulmonary resuscitation. However, recent laboratory and clinical investigations demonstrated that various pharmacological and physical interventions may influence ETCO2. Especially, the use of the CO2 generating buffer NaHCO3 increase and alpha-adrenergic agents constantly decrease ETCO2. Thus, although ETCO2 remains a necessary tool during anaesthesia, it may loose the potential for prediction of survival when monitoring the resuscitative efforts during cardiopulmonary resuscitation.
Authors:
G Trillò; M von Planta; F Kette
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Resuscitation     Volume:  27     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1994 Jan 
Date Detail:
Created Date:  1994-06-21     Completed Date:  1994-06-21     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  1-8     Citation Subset:  IM    
Affiliation:
Department of Research and Anaesthesia, University Hospital/Kantonsspital Basel, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Animals
Carbon Dioxide / physiology*
Cardiopulmonary Resuscitation*
Hemodynamics / physiology
Humans
Mass Spectrometry
Monitoring, Physiologic
Reference Values
Reproducibility of Results
Respiration, Artificial
Spectrophotometry, Infrared
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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