End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit

OBJECTIVE: To assess whether end-tidal capnography (EtCO(2)) monitoring reduced the magnitude of difference in carbon dioxide (CO(2)) levels and the number of blood gases in ventilated infants. STUDY DESIGN: A case–control study of a prospective cohort (n = 36) with capnography monitoring and matche...

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Autores principales: Williams, Emma, Dassios, Theodore, O’Reilly, Niamh, Walsh, Alison, Greenough, Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group US 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917950/
https://www.ncbi.nlm.nih.gov/pubmed/33649438
http://dx.doi.org/10.1038/s41372-021-00978-y
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author Williams, Emma
Dassios, Theodore
O’Reilly, Niamh
Walsh, Alison
Greenough, Anne
author_facet Williams, Emma
Dassios, Theodore
O’Reilly, Niamh
Walsh, Alison
Greenough, Anne
author_sort Williams, Emma
collection PubMed
description OBJECTIVE: To assess whether end-tidal capnography (EtCO(2)) monitoring reduced the magnitude of difference in carbon dioxide (CO(2)) levels and the number of blood gases in ventilated infants. STUDY DESIGN: A case–control study of a prospective cohort (n = 36) with capnography monitoring and matched historical controls (n = 36). RESULT: The infants had a median gestational age of 31.6 weeks. A reduction in the highest CO(2) level on day 1 after birth was observed after the introduction of EtCO(2) monitoring (p = 0.043). There was also a reduction in the magnitude of difference in CO(2) levels on days 1 (p = 0.002) and 4 (p = 0.049) after birth. There was no significant difference in the number of blood gases. CONCLUSION: Continuous end-tidal capnography monitoring in ventilated infants was associated with a reduction in the degree of the magnitude of difference in CO(2) levels and highest level of CO(2) on the first day after birth.
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spelling pubmed-79179502021-03-01 End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit Williams, Emma Dassios, Theodore O’Reilly, Niamh Walsh, Alison Greenough, Anne J Perinatol Article OBJECTIVE: To assess whether end-tidal capnography (EtCO(2)) monitoring reduced the magnitude of difference in carbon dioxide (CO(2)) levels and the number of blood gases in ventilated infants. STUDY DESIGN: A case–control study of a prospective cohort (n = 36) with capnography monitoring and matched historical controls (n = 36). RESULT: The infants had a median gestational age of 31.6 weeks. A reduction in the highest CO(2) level on day 1 after birth was observed after the introduction of EtCO(2) monitoring (p = 0.043). There was also a reduction in the magnitude of difference in CO(2) levels on days 1 (p = 0.002) and 4 (p = 0.049) after birth. There was no significant difference in the number of blood gases. CONCLUSION: Continuous end-tidal capnography monitoring in ventilated infants was associated with a reduction in the degree of the magnitude of difference in CO(2) levels and highest level of CO(2) on the first day after birth. Nature Publishing Group US 2021-03-01 2021 /pmc/articles/PMC7917950/ /pubmed/33649438 http://dx.doi.org/10.1038/s41372-021-00978-y Text en © The Author(s) 2021, corrected publication 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Williams, Emma
Dassios, Theodore
O’Reilly, Niamh
Walsh, Alison
Greenough, Anne
End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit
title End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit
title_full End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit
title_fullStr End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit
title_full_unstemmed End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit
title_short End-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit
title_sort end-tidal capnography monitoring in infants ventilated on the neonatal intensive care unit
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7917950/
https://www.ncbi.nlm.nih.gov/pubmed/33649438
http://dx.doi.org/10.1038/s41372-021-00978-y
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