Role of End-Tidal CO2 Monitoring in Patients Intubated and Resuscitated in the Emergency Department

Özgür KARCIOĞLU

Makale detayları

Role of End-Tidal CO2 Monitoring in Patients Intubated and Resuscitated in the Emergency Department

Yazarlar:

Özgür KARCIOĞLU

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2000 Vol.30 Issue 5, pp.475-478

Belge Tipi:

Makale

Yayın Tarihi:

4/2000

Belge Dili:

Türkçe

Document ID (Org No.):

2000757546

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

Objective: We examined the  reliability of end-tidal CO2 (ETCO2 ) level in  predicting mortality after endotracheal  intubation in emergency situations.  Methods: In this prospective study, the  reliability of ETCO2 monitoring in the  emergency setting as a useful predictor of  outcome was investigated in 36 adult patients  with pending cardiopulmonary collapse. The  cardiopulmonary resuscitation (CPR)  procedure was performed as usual and the  cardiac rhythm, arterial O2 saturation, non-  invasive blood pressure and ETCO2 levels  were continuously monitored in all the  patients.  Results: Patients with an ETCO2  concentration below 0.5% had significantly  lower rates of survival. The sensitivity and  specificity values of end-tidal CO2 levels equal  to or greater than 0.5% in predicting survival  were 100% and 42.8%, respectively. None of  the 8 patients with levels below 0.5%  survived. An end-tidal CO 2 concentration level  of 0.5% served to discriminate between  survivors and non-survivors.  Conclusions: These results suggest that the  initial ETCO2 concentration can be an  important predictor of outcome, especially  with regard to mortality in patients  undergoing endotracheal intubation.

 

Objective: We examined the  reliability of end-tidal CO2 (ETCO2 ) level in  predicting mortality after endotracheal  intubation in emergency situations.  Methods: In this prospective study, the  reliability of ETCO2 monitoring in the  emergency setting as a useful predictor of  outcome was investigated in 36 adult patients  with pending cardiopulmonary collapse. The  cardiopulmonary resuscitation (CPR)  procedure was performed as usual and the  cardiac rhythm, arterial O2 saturation, non-  invasive blood pressure and ETCO2 levels  were continuously monitored in all the  patients.  Results: Patients with an ETCO2  concentration below 0.5% had significantly  lower rates of survival. The sensitivity and  specificity values of end-tidal CO2 levels equal  to or greater than 0.5% in predicting survival  were 100% and 42.8%, respectively. None of  the 8 patients with levels below 0.5%  survived. An end-tidal CO 2 concentration level  of 0.5% served to discriminate between  survivors and non-survivors.  Conclusions: These results suggest that the  initial ETCO2 concentration can be an  important predictor of outcome, especially  with regard to mortality in patients  undergoing endotracheal intubation.

Makale detayları

Role of End-Tidal CO2 Monitoring in Patients Intubated and Resuscitated in the Emergency Department

Yazarlar:

Özgür KARCIOĞLU

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2000 Vol.30 Issue 5, pp.475-478

Belge Tipi:

Makale

Yayın Tarihi:

4/2000

Belge Dili:

Türkçe

Document ID (Org No.):

2000757546

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

End-Tidal CO2

Monitoring

Mortality

Cardiopulmonary Resuscitation

Sayı

Makale detayları

Role of End-Tidal CO2 Monitoring in Patients Intubated and Resuscitated in the Emergency Department

Yazarlar: Özgür KARCIOĞLU

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2000 Vol.30 Issue 5, pp.475-478

Belge Tipi: Makale

Yayın Tarihi: 4/2000

Belge Dili: Türkçe

Document ID (Org No.): 2000757546

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

End-Tidal CO2

Monitoring

Mortality

Cardiopulmonary Resuscitation

Sayı

Yazarlar:

Özgür KARCIOĞLU

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2000 Vol.30 Issue 5, pp.475-478

Belge Tipi:

Makale

Yayın Tarihi:

4/2000

Belge Dili:

Türkçe

Document ID (Org No.):

2000757546

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144