Document Detail


Nocturnal end-tidal PCO2 to detect apnoeas and hypopnoeas in sleep-disordered breathing.
MedLine Citation:
PMID:  8274967     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this study, the end-tidal PCO2 (PETCO2) during the night was measured. The PETCO2 signal was obtained by introducing a cannula through the nose into the nasopharyngeal cavity. The usefulness of this method to identify nocturnal hypoventilation was studied in 29 patients with chronic obstructive pulmonary disease (COPD) with and without oxygen supplementation. The results showed that 27 patients with COPD developed 67 nocturnal oxygen desaturations which were all accompanied by raised PETCO2. During oxygen therapy in all COPD patients nocturnal episodes with increased PETCO2 occurred. Furthermore, the detection of nocturnal apnoeas and hypopnoeas was assessed in 19 subjects who were referred to the sleep laboratory for snoring and daytime sleepiness. In this group episodes of disordered breathing could easily be assessed. The PETCO2 signal was especially useful to identify hypopnoeas that were accompanied by only small dips in SaO2 (< 3%). It is concluded that PETCO2 measurement is useful in the detection of hypoventilation during sleep in COPD patients, especially when they receive supplemental oxygen. PETCO2 recording detects obstructive apnoeas and hypopnoeas and is especially helpful to identify hypopnoeas which are accompanied by only small dips in oxygen saturation.
Authors:
P J Vos; H T Folgering; C L van Herwaarden
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Physiological measurement     Volume:  14     ISSN:  0967-3334     ISO Abbreviation:  Physiol Meas     Publication Date:  1993 Nov 
Date Detail:
Created Date:  1994-02-10     Completed Date:  1994-02-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9306921     Medline TA:  Physiol Meas     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  433-9     Citation Subset:  IM    
Affiliation:
Department of Pulmonary Diseases, University of Nijmegen, Medical Centre Dekkerswald, Groesbeek, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Carbon Dioxide / diagnostic use*,  metabolism
Female
Humans
Lung Diseases, Obstructive / complications*
Male
Middle Aged
Sleep Apnea Syndromes / diagnosis,  etiology*
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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