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Quantitative capnometry as a critical resuscitation tool.

Abstract

Capnometry is a useful tool for emergency airway and ventilation management. Advantages include high sensitivity and specificity with regard to ET tube placement and the ability to provide continuous data throughout the initial resuscitation. Ultimately the ability of capnometry to guide ventilation and even chest compressions may be its most important contribution to the care of critically ill and injured patients.

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BibTeXRIS

Daniel P Davis. Quantitative capnometry as a critical resuscitation tool.. https://doi.org/10.1097/00043860-200512020-00003

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The role of carbon dioxide detectors for confirmation of endotracheal tube position.

There is evidence that practitioners who are responsible for airway management at newborn resuscitations may place an endotracheal tube incorrectly with confidence. Moving on to the further stages of resuscitation, without managing the airway adequately, and commencing ventilation has the potential for significant harm to the baby. Because primary confirmation is fallible, there is a need for secondary confirmation of correct endotracheal tube placement and effective airway and breathing before moving on to cardiovascular support. Symmetric chest movement, auscultation, exhaled carbon dioxide (CO(2)), and an increase in heart rate have been suggested as providing secondary confirmation. Measurement of exhaled CO(2) is accepted widely as a standard of care in adult and pediatric intensive care and in anaesthetized patients.

Capnography↗