Capnography waveforms: basic interpretation in neonatal intensive care

End-tidal capnography can provide useful clinical information displayed on the ventilator screen or bedside monitor. It is important that clinicians can assess and utilise this information to assist in identifying underlying complications and pulmonary pathology. Sudden change or loss of the CO2 wav...

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Main Authors: Emma E. Williams, Theodore Dassios, Christopher Harris, Anne Greenough
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-04-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2024.1396846/full
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author Emma E. Williams
Theodore Dassios
Theodore Dassios
Christopher Harris
Christopher Harris
Anne Greenough
author_facet Emma E. Williams
Theodore Dassios
Theodore Dassios
Christopher Harris
Christopher Harris
Anne Greenough
author_sort Emma E. Williams
collection DOAJ
description End-tidal capnography can provide useful clinical information displayed on the ventilator screen or bedside monitor. It is important that clinicians can assess and utilise this information to assist in identifying underlying complications and pulmonary pathology. Sudden change or loss of the CO2 waveform can act as a safety measure in alerting clinicians of a dislodged or blocked endotracheal tube, considering the concurrent flow and volume waveforms. Visual pattern recognition by the clinicians of commonly seen waveform traces may act as an adjunct to other modes of ventilatory monitoring techniques. Waveforms traces can aid clinical management, help identify cases of ventilation asynchrony between the infant and the ventilator. We present some common clinical scenarios where tidal capnography can be useful in the timely identification of pulmonary complication and for practical troubleshooting at the cot-side.
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spelling doaj.art-92d12c4be55c471da7b9b8f89ef7e5722024-04-04T04:57:03ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602024-04-011210.3389/fped.2024.13968461396846Capnography waveforms: basic interpretation in neonatal intensive careEmma E. Williams0Theodore Dassios1Theodore Dassios2Christopher Harris3Christopher Harris4Anne Greenough5Department of Women and Children’s Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King’s College London, London, United KingdomDepartment of Women and Children’s Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King’s College London, London, United KingdomNeonatal Intensive Care Centre, King’s College Hospital NHS Foundation Trust, London, United KingdomDepartment of Women and Children’s Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King’s College London, London, United KingdomNeonatal Intensive Care Centre, King’s College Hospital NHS Foundation Trust, London, United KingdomDepartment of Women and Children’s Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King’s College London, London, United KingdomEnd-tidal capnography can provide useful clinical information displayed on the ventilator screen or bedside monitor. It is important that clinicians can assess and utilise this information to assist in identifying underlying complications and pulmonary pathology. Sudden change or loss of the CO2 waveform can act as a safety measure in alerting clinicians of a dislodged or blocked endotracheal tube, considering the concurrent flow and volume waveforms. Visual pattern recognition by the clinicians of commonly seen waveform traces may act as an adjunct to other modes of ventilatory monitoring techniques. Waveforms traces can aid clinical management, help identify cases of ventilation asynchrony between the infant and the ventilator. We present some common clinical scenarios where tidal capnography can be useful in the timely identification of pulmonary complication and for practical troubleshooting at the cot-side.https://www.frontiersin.org/articles/10.3389/fped.2024.1396846/fullcapnographyinfantend-tidalventilationwaveform
spellingShingle Emma E. Williams
Theodore Dassios
Theodore Dassios
Christopher Harris
Christopher Harris
Anne Greenough
Capnography waveforms: basic interpretation in neonatal intensive care
Frontiers in Pediatrics
capnography
infant
end-tidal
ventilation
waveform
title Capnography waveforms: basic interpretation in neonatal intensive care
title_full Capnography waveforms: basic interpretation in neonatal intensive care
title_fullStr Capnography waveforms: basic interpretation in neonatal intensive care
title_full_unstemmed Capnography waveforms: basic interpretation in neonatal intensive care
title_short Capnography waveforms: basic interpretation in neonatal intensive care
title_sort capnography waveforms basic interpretation in neonatal intensive care
topic capnography
infant
end-tidal
ventilation
waveform
url https://www.frontiersin.org/articles/10.3389/fped.2024.1396846/full
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