Yıl: 2021 Cilt: 2 Sayı: 2 Sayfa Aralığı: 69 - 73 Metin Dili: İngilizce DOI: 10.51271/jpea-2021-0118 İndeks Tarihi: 28-11-2022

Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization

Öz:
Non-invasive methods have replaced invasive methods in line with developments in pediatric intensive care units. (Especially methods that enable continuous monitoring) Although arterial carbon dioxide measurement is still the gold standard for the evaluation of alveolar ventilation, the need for continuous monitoring of PaCO2 and the invasive nature of this method have led to the investigation of alternative methods. To evaluate the correlation of transcutaneous CO2 (TcCO2) monitoring with PaCO2 and ETCO2 in 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 singlecenter, prospective, observational cohort study from February 2019 through March 2019. Correlation analysis was performed for arterial PaCO2, end-tidal CO2, TcCO2 parameters. P<0.05 values were considered significant. The Bland-Altman plot was created for determining the agreement between the methods. The correlation of transcutaneous CO2 and end-tidal CO2 with arterial PaCO2 was 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 endtidal 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 TcCO2 was ±7.5 mm Hg of the PaCO2. TcCO2 seems 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 PaCO2 measurement is still the gold standard method. Continuous TcCO2 monitoring provides a promising alternative to repeated blood sampling in subjects requiring mechanical ventilation for critically ill children.
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  • 1. Storre JH, Magnet FS, Dreher M, Windisch W. Transcutaneous monitoring as a replacement for arterial PCO2 monitoring during nocturnal non-invasive ventilation. Respir Med. 2011;105:143-50. [CrossRef]
  • 2. Storre JH, Steurer B, Kabitz HJ, Dreher M, Windisch W. Transcutaneous PCO2 monitoring during initiation of noninvasive ventilation. Chest. 2007;132:1810-6. [CrossRef]
  • 3. Mallat J, Vallet B. Mucosal and cutaneous capnometry for the assessment of tissue hypoperfusion. Minerva Anestesiol. 2018;84:68-80. [CrossRef]
  • 4. Vallée F, Nougué H, Mari A, et al. Variations of Cutaneous Capnometry and Perfusion Index During a Heating Challenge is Early Impaired in Septic Shock and Related to Prognostic in Non- Septic Shock. Shock. 2019;51:585-92. [CrossRef]
  • 5. Delerme S, Montout V, Goulet H, et al. Concordance between transcutaneous and arterial measurements of carbon dioxide in an ED. Am J Emerg Med. 2012;30:1872-6. [CrossRef]
  • 6. Nishiyama T, Nakamura S, Yamashita K. Effects of the electrode temperature of a new monitor, TCM4, on the measurement of transcutaneous oxygen and carbon dioxide tension. J Anesth. 2006;20:331-4. [CrossRef]
  • 7. Peschanski N, Garcia L, Delasalle E, et al. Can transcutaneous carbon dioxide pressure be a surrogate of blood gas samples for spontaneously breathing emergency patients? The ERNESTO experience. Emerg Med J. 2016;33:325-8. [CrossRef]
  • 8. Ruiz Y, Farrero E, Córdoba A, González N, Dorca J, Prats E. Transcutaneous Carbon Dioxide Monitoring in Subjects With Acute Respiratory Failure and Severe Hypercapnia. Respir Care. 2016;61:428-33. [CrossRef]
  • 9. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307-10. [CrossRef]
  • 10. Restrepo RD, Hirst KR, Wittnebel L, Wettstein R. AARC clinical practice guideline:transcutaneous monitoring of carbon dioxide and oxygen: 2012. Respir Care. 2012;57:1955-62. [CrossRef]
  • 11. Bolliger D, Steiner LA, Kasper J, Aziz OA, Filipovic M, Seeberger MD. The accuracy of non-invasive carbon dioxide monitoring:a clinical evaluation of two transcutaneous systems. Anaesthesia. 2007;62:394-9. [CrossRef]
  • 12. Berkenbosch JW, Tobias JD. Transcutaneous carbon dioxide monitoring during high-frequency oscillatory ventilation in infants and children. Crit Care Med. 2002;30:1024-7. [CrossRef]
  • 13. Urbano J, Cruzado V, López-Herce J, del Castillo J, Bellón JM, Carrillo A. Accuracy of three transcutaneous carbon dioxide monitors in critically ill children. Pediatr Pulmonol. 2010;45:481-6. [CrossRef]
  • 14. Tobias JD. Transcutaneous carbon dioxide monitoring in infants and children. Paediatr Anaesth. 2009;19:434-44. [CrossRef]
  • 15. Chhajed PN, Miedinger D, Baty F, et al. Comparison of combined oximetry and cutaneous capnography using a digital sensor with arterial blood gas analysis. Scand J Clin Lab Invest. 2010;70:60-4. [CrossRef]
  • 16. Nicolini A, Ferrari MB. Evaluation of a transcutaneous carbon dioxide monitor in patients with acute respiratory failure. Ann Thorac Med. 2011;6:217-20. [CrossRef]
  • 17. Johnson DC, Batool S, Dalbec R. Transcutaneous carbon dioxide pressure monitoring in a specialized weaning unit. Respir Care. 2008;53:1042-7. [CrossRef]
  • 18. Perrin K, Wijesinghe M, Weatherall M, Beasley R. Assessing PaCO2 in acute respiratory disease:accuracy of a transcutaneous carbon dioxide device. Intern Med J. 2011;41:630-3. [CrossRef]
  • 19. Cuvelier A, Grigoriu B, Molano LC, Muir JF. Limitations of transcutaneous carbon dioxide measurements for assessing long- term mechanical ventilation. Chest. 2005;127:1744-8. [CrossRef]
  • 20. Bhalla AK, Khemani RG, Hotz JC, Morzov RP, Christopher JL. Accuracy of Transcutaneous Carbon Dioxide Levels in Comparison to Arterial Carbon Dioxide Levels in Critically Ill Children. Respir Care 2019;64:201-8. [CrossRef]
  • 21. Tobias JD, Russo P, Russo J. An evaluation of acid-base changes following aortic cross-clamping using transcutaneous carbon dioxide monitoring. Pediatr Cardiol. 2006;27:585-8. [CrossRef]
APA ozsoylu s, Dursun A, Baykan A, Akyıldız B (2021). Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. , 69 - 73. 10.51271/jpea-2021-0118
Chicago ozsoylu serkan,Dursun Adem,Baykan Ali,Akyıldız Basak Nur Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. (2021): 69 - 73. 10.51271/jpea-2021-0118
MLA ozsoylu serkan,Dursun Adem,Baykan Ali,Akyıldız Basak Nur Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. , 2021, ss.69 - 73. 10.51271/jpea-2021-0118
AMA ozsoylu s,Dursun A,Baykan A,Akyıldız B Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. . 2021; 69 - 73. 10.51271/jpea-2021-0118
Vancouver ozsoylu s,Dursun A,Baykan A,Akyıldız B Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. . 2021; 69 - 73. 10.51271/jpea-2021-0118
IEEE ozsoylu s,Dursun A,Baykan A,Akyıldız B "Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization." , ss.69 - 73, 2021. 10.51271/jpea-2021-0118
ISNAD ozsoylu, serkan vd. "Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization". (2021), 69-73. https://doi.org/10.51271/jpea-2021-0118
APA ozsoylu s, Dursun A, Baykan A, Akyıldız B (2021). Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. The journal of pediatric academy (Online), 2(2), 69 - 73. 10.51271/jpea-2021-0118
Chicago ozsoylu serkan,Dursun Adem,Baykan Ali,Akyıldız Basak Nur Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. The journal of pediatric academy (Online) 2, no.2 (2021): 69 - 73. 10.51271/jpea-2021-0118
MLA ozsoylu serkan,Dursun Adem,Baykan Ali,Akyıldız Basak Nur Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. The journal of pediatric academy (Online), vol.2, no.2, 2021, ss.69 - 73. 10.51271/jpea-2021-0118
AMA ozsoylu s,Dursun A,Baykan A,Akyıldız B Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. The journal of pediatric academy (Online). 2021; 2(2): 69 - 73. 10.51271/jpea-2021-0118
Vancouver ozsoylu s,Dursun A,Baykan A,Akyıldız B Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization. The journal of pediatric academy (Online). 2021; 2(2): 69 - 73. 10.51271/jpea-2021-0118
IEEE ozsoylu s,Dursun A,Baykan A,Akyıldız B "Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization." The journal of pediatric academy (Online), 2, ss.69 - 73, 2021. 10.51271/jpea-2021-0118
ISNAD ozsoylu, serkan vd. "Evaluation of the Relationship between Transcutaneous Carbondioxide Monitorization and End-tidal Carbondioxide and Partial Carbondioxide Monitorization". The journal of pediatric academy (Online) 2/2 (2021), 69-73. https://doi.org/10.51271/jpea-2021-0118