Capnography as a Tool to Improve Noninvasive Ventilation: Technical Key Topics and Clinical Implications

 

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ICU

Recovery

Sedation

CPR

ED

NAP4

2011

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ASA

1987
  
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AAGBI

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Resusc. Council
    
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NAP4 National Audit Project 4, ASA American Society of Anesthesiologists, AAGBI The Association of Anesthetists of Great Britain and Ireland, Resusc. Council Resuscitation Council, ICS Intensive Care Society, OR operating room, ICU intensive care unit, CPR cardiopulmonary resuscitation, ED emergency department



Although there is an opportunity for end-tidal CO2 (etCO2) monitoring in nonintubated patients with the developing technology in mainstream and sidestream capnographies, false results can be obtained as a result of obstruction due to water and secretion. Microstream (MST) is a new method developed for CO2 measurement, based on molecular correlation spectroscopy. In this method, a specific infrared radiation wavelength is used to detect CO2, which is not affected by the other gases (i.e., O2, N2O, He, inhaled anesthetics). In the MST procedure, a low sample flow rate (50 ml/min) is adequate, which makes the procedure useful in different types of patients, such as neonates. MST can be used in intubated and nonintubated patients, and it is widely available for monitoring etCO2 during NIV [3].

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Jun 14, 2017 | Posted by in RESPIRATORY | Comments Off on Capnography as a Tool to Improve Noninvasive Ventilation: Technical Key Topics and Clinical Implications

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