Capnography: Difference between revisions

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Capnography is a non-invasive measurement during inspiration and expiration of the partial pressure of CO2 from the airway. It provides physiologic information on ventilation, perfusion, and metabolism, which is important for airway management.  
Capnography is a non-invasive measurement during inspiration and expiration of the partial pressure of CO2 from the airway. It provides physiologic information on ventilation, perfusion, and metabolism, which is important for airway management.  


End-tidal CO2 or EtCO2 is the maximum partial pressure of CO2 obtained at the end of exhalation. While a capnometer reports numeric values as a result, a capnograph adds a graphic display of a waveform, which represents expired CO2 as a function to either volume or time. And the created waveform is referred to as capnogram.  
End tidal CO2 or EtCO2 is the maximum partial pressure of CO2 obtained at the end of exhalation. While a capnometer reports numeric values as a result, a capnograph adds a graphic display of a waveform, which represents expired CO2 as a function to either volume or time and the created waveform is referred to as capnogram.  


== Indications for Use  ==
== Indications for Use  ==


This technique allows insight into the alveolar ventilation, perfusion and metabolism of breathing. On top of the use of validity for the measured level of EtCO2, it gives us two main advantages. Firstly, The appropriate tracing/mark on a pulse oximeter guarantees us that the recorded oxygen saturation provided is valid. Secondly, the evaluation of the provided waveform gives us key information about latent, underlying physiologic conditions and the ongoing processes of diseases.<ref>Joshua Nagler,MD, Baruch Krauss, MD. Capnography: A Valuable Tool fot Airway Managemant. Emerg Med Clin N Am 26 (2008) 881-897 (A1)</ref><br>  
This technique allows insight into the alveolar ventilation, perfusion and metabolism of breathing. On top of the use of validity for the measured level of EtCO2, it gives us two main advantages. Firstly, The appropriate tracing/mark on a pulse oximeter guarantees that the recorded oxygen saturation provided is valid. Secondly, the evaluation of the provided waveform gives key information about latent, underlying physiologic conditions and the ongoing processes of diseases.<ref>Joshua Nagler,MD, Baruch Krauss, MD. Capnography: A Valuable Tool fot Airway Managemant. Emerg Med Clin N Am 26 (2008) 881-897 </ref><br>  


Capnometry is a non-invasive monitoring technique. It allows quick and reliable insight into aspects like: ventilation, circulation, and metabolism. In diagnosis, monitoring, and prediction of outcome capnometry is an important tool, especially in the prehospital setting.<ref>Dejan Kupnik, Pavel Skok. Capnometry in the prehospital setting: are we using its potential? Emerg Med J 2007;24:614–617. doi: 10.1136/emj.2006.044081 (A1)</ref>  
Capnometry is a non-invasive monitoring technique. It allows quick and reliable insight into aspects like: ventilation, circulation, and metabolism. In diagnosis, monitoring, and prediction of outcome capnometry is an important tool, especially in the prehospital setting.<ref>Dejan Kupnik, Pavel Skok. Capnometry in the prehospital setting: are we using its potential? Emerg Med J 2007;24:614–617. </ref>  


== The Future of Capnography  ==
== The Future of Capnography  ==


Capnography and the measurement of PETCO2 will be augmented in the future by relatively new measurement methodology. Including the study of oxygen kinetics as a future direction. <ref>Cynthia T Anderson and Peter H Breen. Carbon dioxide kinetics and capnography during critical care. Crit Care2000, 4:207–215 (A1)</ref> <br>  
Capnography and the measurement of PETCO2 will be augmented in the future by relatively new measurement methodology. Including the study of oxygen kinetics as a future direction. <ref>Cynthia T Anderson and Peter H Breen. Carbon dioxide kinetics and capnography during critical care. Crit Care2000, 4:207–215</ref> <br>  


== Outcome Measures  ==
== Outcome Measures  ==
 
*
add links to outcome measures here (also see [[Outcome Measures|Outcome Measures Database]])<br>


== Key Research  ==
== Key Research  ==
 
*
add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br>


== Resources <br>  ==
== Resources <br>  ==
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== Clinical Bottom Line  ==
== Clinical Bottom Line  ==


add text here <br>
add text here <br>
 
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
 
see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]]
<div class="researchbox">
<rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=10MSL6XygFtJE0U1cFaMymrEzlg4fplku3nzxLcqj2lwjTsEg4</rss>
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== References  ==
== References  ==



Revision as of 14:28, 4 August 2017

Introduction[edit | edit source]

Capnography is a non-invasive measurement during inspiration and expiration of the partial pressure of CO2 from the airway. It provides physiologic information on ventilation, perfusion, and metabolism, which is important for airway management.

End tidal CO2 or EtCO2 is the maximum partial pressure of CO2 obtained at the end of exhalation. While a capnometer reports numeric values as a result, a capnograph adds a graphic display of a waveform, which represents expired CO2 as a function to either volume or time and the created waveform is referred to as capnogram.

Indications for Use[edit | edit source]

This technique allows insight into the alveolar ventilation, perfusion and metabolism of breathing. On top of the use of validity for the measured level of EtCO2, it gives us two main advantages. Firstly, The appropriate tracing/mark on a pulse oximeter guarantees that the recorded oxygen saturation provided is valid. Secondly, the evaluation of the provided waveform gives key information about latent, underlying physiologic conditions and the ongoing processes of diseases.[1]

Capnometry is a non-invasive monitoring technique. It allows quick and reliable insight into aspects like: ventilation, circulation, and metabolism. In diagnosis, monitoring, and prediction of outcome capnometry is an important tool, especially in the prehospital setting.[2]

The Future of Capnography[edit | edit source]

Capnography and the measurement of PETCO2 will be augmented in the future by relatively new measurement methodology. Including the study of oxygen kinetics as a future direction. [3]

Outcome Measures[edit | edit source]

Key Research[edit | edit source]

Resources
[edit | edit source]

[4]
[5]

Clinical Bottom Line[edit | edit source]

add text here

References[edit | edit source]

see adding references tutorial.

  1. Joshua Nagler,MD, Baruch Krauss, MD. Capnography: A Valuable Tool fot Airway Managemant. Emerg Med Clin N Am 26 (2008) 881-897
  2. Dejan Kupnik, Pavel Skok. Capnometry in the prehospital setting: are we using its potential? Emerg Med J 2007;24:614–617.
  3. Cynthia T Anderson and Peter H Breen. Carbon dioxide kinetics and capnography during critical care. Crit Care2000, 4:207–215
  4. Adam Thompson. EtCO2: Capnography Part 1. Available from: http://www.youtube.com/watch?v=_mw27u6dBek [last accessed 22/02/13]
  5. Adam Thompson. EtCO2: Capnography Part 2. Available from: http://www.youtube.com/watch?v=C8sRBQZ_ky0 [last accessed 22/02/13]