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Concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study

INTRODUCTION: Transcutaneous CO (2) (PtCO (2)) is a continuous and non-invasive measure recommended by scientific societies in the management of respiratory distress. The objective of this study is to evaluate the correlation between PtCO (2) and blood pressure of CO (2) (PaCO (2)) by blood gas anal...

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Autores principales: Bobbia, Xavier, Claret, Pierre-Géraud, Palmier, Ludovic, Robert, Michaël, Grandpierre, Romain Genre, Roger, Claire, Ray, Patrick, Sebbane, Mustapha, Muller, Laurent, La Coussaye, Jean-Emmanuel de
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434821/
https://www.ncbi.nlm.nih.gov/pubmed/25981461
http://dx.doi.org/10.1186/s13049-015-0120-4
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author Bobbia, Xavier
Claret, Pierre-Géraud
Palmier, Ludovic
Robert, Michaël
Grandpierre, Romain Genre
Roger, Claire
Ray, Patrick
Sebbane, Mustapha
Muller, Laurent
La Coussaye, Jean-Emmanuel de
author_facet Bobbia, Xavier
Claret, Pierre-Géraud
Palmier, Ludovic
Robert, Michaël
Grandpierre, Romain Genre
Roger, Claire
Ray, Patrick
Sebbane, Mustapha
Muller, Laurent
La Coussaye, Jean-Emmanuel de
author_sort Bobbia, Xavier
collection PubMed
description INTRODUCTION: Transcutaneous CO (2) (PtCO (2)) is a continuous and non-invasive measure recommended by scientific societies in the management of respiratory distress. The objective of this study is to evaluate the correlation between PtCO (2) and blood pressure of CO (2) (PaCO (2)) by blood gas analysis in emergency patients with dyspnoea and to determine the factors that interfere in this correlation. METHODS: From January to June 2014, all patients admitted to resuscitation room of the emergency department targeted for arterial blood gases were included prospectively. A sensor measuring the PtCO (2) was attached to the ear lobe of the patient before the gas analysis. Anamnesis, clinical and laboratory parameters were identified. RESULTS: 90 patients with dyspnoea were included (with 104 pairs of measurements), the median age was 79 years [69-85]. The correlation between PtCO (2) and PaCO (2) was R (2)= 0.83 (p <0.001) but became lower for values of PaCO (2)>60 mm Hg. The mean bias (±SD) between the two methods of measurement (Bland-Altman analysis) was -1.4 mm Hg (±7.7) with limits of agreement of -16.4 to 13.7 mm Hg. In univariate analysis, PaO (2) interfered in this correlation. After multivariate analysis, the temperature (OR = 3.01, 95% CI = 1.16-7.09) and the PaO (2) (OR = 1.22, 95% CI = 1.02-1.47) were found to be significant. CONCLUSIONS: In patients admitted in emergency unit for acute respiratory failure, there is a significant correlation between PaCO (2) and PtCO (2), mainly for values below 60 mm Hg. The two limiting factors of use are hyperthermia and users training.
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spelling pubmed-44348212015-05-19 Concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study Bobbia, Xavier Claret, Pierre-Géraud Palmier, Ludovic Robert, Michaël Grandpierre, Romain Genre Roger, Claire Ray, Patrick Sebbane, Mustapha Muller, Laurent La Coussaye, Jean-Emmanuel de Scand J Trauma Resusc Emerg Med Original Research INTRODUCTION: Transcutaneous CO (2) (PtCO (2)) is a continuous and non-invasive measure recommended by scientific societies in the management of respiratory distress. The objective of this study is to evaluate the correlation between PtCO (2) and blood pressure of CO (2) (PaCO (2)) by blood gas analysis in emergency patients with dyspnoea and to determine the factors that interfere in this correlation. METHODS: From January to June 2014, all patients admitted to resuscitation room of the emergency department targeted for arterial blood gases were included prospectively. A sensor measuring the PtCO (2) was attached to the ear lobe of the patient before the gas analysis. Anamnesis, clinical and laboratory parameters were identified. RESULTS: 90 patients with dyspnoea were included (with 104 pairs of measurements), the median age was 79 years [69-85]. The correlation between PtCO (2) and PaCO (2) was R (2)= 0.83 (p <0.001) but became lower for values of PaCO (2)>60 mm Hg. The mean bias (±SD) between the two methods of measurement (Bland-Altman analysis) was -1.4 mm Hg (±7.7) with limits of agreement of -16.4 to 13.7 mm Hg. In univariate analysis, PaO (2) interfered in this correlation. After multivariate analysis, the temperature (OR = 3.01, 95% CI = 1.16-7.09) and the PaO (2) (OR = 1.22, 95% CI = 1.02-1.47) were found to be significant. CONCLUSIONS: In patients admitted in emergency unit for acute respiratory failure, there is a significant correlation between PaCO (2) and PtCO (2), mainly for values below 60 mm Hg. The two limiting factors of use are hyperthermia and users training. BioMed Central 2015-05-17 /pmc/articles/PMC4434821/ /pubmed/25981461 http://dx.doi.org/10.1186/s13049-015-0120-4 Text en © Bobbia et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Original Research
Bobbia, Xavier
Claret, Pierre-Géraud
Palmier, Ludovic
Robert, Michaël
Grandpierre, Romain Genre
Roger, Claire
Ray, Patrick
Sebbane, Mustapha
Muller, Laurent
La Coussaye, Jean-Emmanuel de
Concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study
title Concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study
title_full Concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study
title_fullStr Concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study
title_full_unstemmed Concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study
title_short Concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study
title_sort concordance and limits between transcutaneous and arterial carbon dioxide pressure in emergency department patients with acute respiratory failure: a single-center prospective observational study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434821/
https://www.ncbi.nlm.nih.gov/pubmed/25981461
http://dx.doi.org/10.1186/s13049-015-0120-4
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