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...
Main Authors: | , , , |
---|---|
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 |
_version_ | 1827294128820453376 |
---|---|
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. |
first_indexed | 2024-04-24T13:51:41Z |
format | Article |
id | doaj.art-92d12c4be55c471da7b9b8f89ef7e572 |
institution | Directory Open Access Journal |
issn | 2296-2360 |
language | English |
last_indexed | 2024-04-24T13:51:41Z |
publishDate | 2024-04-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Pediatrics |
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 |
work_keys_str_mv | AT emmaewilliams capnographywaveformsbasicinterpretationinneonatalintensivecare AT theodoredassios capnographywaveformsbasicinterpretationinneonatalintensivecare AT theodoredassios capnographywaveformsbasicinterpretationinneonatalintensivecare AT christopherharris capnographywaveformsbasicinterpretationinneonatalintensivecare AT christopherharris capnographywaveformsbasicinterpretationinneonatalintensivecare AT annegreenough capnographywaveformsbasicinterpretationinneonatalintensivecare |