Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide Monitorization
To evaluate the correlation of transcutaneous CO2(TcCO2) monitoring with PaCO₂ and ETCO2in mechanically ventilated patients in peditaric intensive care units. Single-center, prospective, observational cohort study. We enrolled 60 patients between the age of 1 month-18 years who were mechanically ven...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2021-08-01
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| Series: | The Journal of Pediatric Academy |
| Subjects: | |
| Online Access: | https://jpediatricacademy.com/index.php/jpa/article/view/118 |
| _version_ | 1797767411911360512 |
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| author | Serkan Özsoylu Başak Nur Akyıldız Adem Dursun Ali Baykan |
| author_facet | Serkan Özsoylu Başak Nur Akyıldız Adem Dursun Ali Baykan |
| author_sort | Serkan Özsoylu |
| collection | DOAJ |
| description | To evaluate the correlation of transcutaneous CO2(TcCO2) monitoring with PaCO₂ and ETCO2in mechanically ventilated patients in peditaric intensive care units. Single-center, prospective, observational cohort study. We enrolled 60 patients between the age of 1 month-18 years who were mechanically ventilated in pediatric intensive care unit for this single-center, prospective, observational cohort study from February 2019 through March 2019. Correlation analysis was performed for arterial PaCO2, end-tidal CO2, TcCO2parameters. P < 0.05 values were considered significant. The Bland-Altman plot was created for determining the agreement between the methods.The correlation of transcutaneous CO2and end-tidal CO2with arterial PaCO2was evaluated, both parameters were found to be positively and highly correlated (r=0.864, p<0.001, r:0.962, p<0.001, respectively). The mean bias between the arterial carbondioxide mesaurement and transcutaneous measurement was 5.5, and limits of agreement (bias ± 1.96 SD) ranged from -13.9 to 2.9. The mean bias between the arterial carbondioxide mesaurement and end-tidal carbondioxide measurement was 2.3, and limits of agreement (bias ± 1.96 SD) ranged from -4.1 to 8.6. In 44 measurements (88%), the TcCO2was ± 7.5 mm Hg of the PaCO2. TcCO2seems to be a good alternative for carbon dioxide measurement, as it is non-invasive and allows continuous monitoring in view of today's intensive care conditions, but arterial PaCO2measurement is still the gold standard method. Continuous TcCO2monitoring provides a promising alternative to repeated blood sampling in subjects requiring mechanical ventilation for critically ill children. |
| first_indexed | 2024-03-12T20:38:23Z |
| format | Article |
| id | doaj.art-a2e5c73a8aa146189253fd609c27cbaa |
| institution | Directory Open Access Journal |
| issn | 2718-0875 |
| language | English |
| last_indexed | 2024-03-12T20:38:23Z |
| publishDate | 2021-08-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | The Journal of Pediatric Academy |
| spelling | doaj.art-a2e5c73a8aa146189253fd609c27cbaa2023-08-01T11:32:52ZengGalenos Publishing HouseThe Journal of Pediatric Academy2718-08752021-08-0122697336Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide MonitorizationSerkan ÖzsoyluBaşak Nur AkyıldızAdem DursunAli BaykanTo evaluate the correlation of transcutaneous CO2(TcCO2) monitoring with PaCO₂ and ETCO2in mechanically ventilated patients in peditaric intensive care units. Single-center, prospective, observational cohort study. We enrolled 60 patients between the age of 1 month-18 years who were mechanically ventilated in pediatric intensive care unit for this single-center, prospective, observational cohort study from February 2019 through March 2019. Correlation analysis was performed for arterial PaCO2, end-tidal CO2, TcCO2parameters. P < 0.05 values were considered significant. The Bland-Altman plot was created for determining the agreement between the methods.The correlation of transcutaneous CO2and end-tidal CO2with arterial PaCO2was evaluated, both parameters were found to be positively and highly correlated (r=0.864, p<0.001, r:0.962, p<0.001, respectively). The mean bias between the arterial carbondioxide mesaurement and transcutaneous measurement was 5.5, and limits of agreement (bias ± 1.96 SD) ranged from -13.9 to 2.9. The mean bias between the arterial carbondioxide mesaurement and end-tidal carbondioxide measurement was 2.3, and limits of agreement (bias ± 1.96 SD) ranged from -4.1 to 8.6. In 44 measurements (88%), the TcCO2was ± 7.5 mm Hg of the PaCO2. TcCO2seems to be a good alternative for carbon dioxide measurement, as it is non-invasive and allows continuous monitoring in view of today's intensive care conditions, but arterial PaCO2measurement is still the gold standard method. Continuous TcCO2monitoring provides a promising alternative to repeated blood sampling in subjects requiring mechanical ventilation for critically ill children.https://jpediatricacademy.com/index.php/jpa/article/view/118transcutaneous carbondioxide, critically ill |
| spellingShingle | Serkan Özsoylu Başak Nur Akyıldız Adem Dursun Ali Baykan Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide Monitorization The Journal of Pediatric Academy transcutaneous carbondioxide, critically ill |
| title | Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide Monitorization |
| title_full | Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide Monitorization |
| title_fullStr | Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide Monitorization |
| title_full_unstemmed | Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide Monitorization |
| title_short | Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide Monitorization |
| title_sort | evaluation of the relationship between transcutaneous carbondioxide monitorization and end tidal carbondioxide and partial carbondioxide monitorization |
| topic | transcutaneous carbondioxide, critically ill |
| url | https://jpediatricacademy.com/index.php/jpa/article/view/118 |
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