Document Detail


Noninvasive monitoring of carbon dioxide in infants and children with congenital heart disease: end-tidal versus transcutaneous techniques.
MedLine Citation:
PMID:  16145219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
End-tidal CO2 (ET(CO2)) monitoring and transcutaneous (TC) CO2 monitoring were prospectively compared in 53 patients, 1 month to 16 years of age, with congenital heart disease (CHD). There were 32 patients with cyanotic CHD and 21 with acyanotic CHD. The TC-Pa(CO2) difference was 2 +/- 1 mm Hg and the ET-Pa(CO2) difference was 5 +/- 3 mm Hg (P < .0001). The TC-Pa(CO2) difference was < or = 2 mm Hg in 30 of 53 patients and < or = 5 mm Hg in 53 of 53 patients. The ET-Pa(CO2) difference was < or = 2 mm Hg in 9 of 53 patients and < or = 5 mm Hg in 30 of 53 patients (P < .001). No variation in the TC-Pa(CO2) difference was noted based on the type of CHD (acyanotic vs cyanotic) or age. The ET-Pa(CO2) difference was greater in patients with cyanotic versus acyanotic CHD (7 +/- 3 mm Hg vs 4 +/- 2 mm Hg, P < .0001) and in patients < or = 1 year of age versus patients > or = 1 year of age (6 +/- 3 mm Hg vs 4 +/- 2, P = .008). In infants and children with CHD, TC monitoring provides a more accurate estimation of Pa(CO2) than ET monitoring.
Authors:
John Wilson; Pierantonio Russo; JoAnne Russo; Joseph D Tobias
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of intensive care medicine     Volume:  20     ISSN:  0885-0666     ISO Abbreviation:  J Intensive Care Med     Publication Date:    2005 Sep-Oct
Date Detail:
Created Date:  2005-09-07     Completed Date:  2005-12-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8610344     Medline TA:  J Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  291-5     Citation Subset:  IM    
Affiliation:
University of Missouri School of Medicine, Columbia, MO 65212, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Blood Gas Monitoring, Transcutaneous*
Capnography*
Carbon Dioxide / metabolism*
Child
Child, Preschool
Cyanosis
Heart Defects, Congenital / diagnosis*
Humans
Infant
Prospective Studies
Reproducibility of Results
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide
Comments/Corrections
Comment In:
J Intensive Care Med. 2005 Sep-Oct;20(5):307-9   [PMID:  16145221 ]

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


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