PEM Playbook – EtCO2 Masterclass

Originally published at Pediatric Emergency Playbook on November 1, 2019 – Reposted with permission

Follow Dr. Tim Horeczko on twitter @EMTogether


Listen to accompanying podcast that goes with these slides.

Selected References

 

Asplin BR et al. Prognostic Value of End-Tidal Carbon Dioxide Pressures During Out-of-Hospital Cardiac Arrest. Ann Emerg Med. 1995; 25(8):756-761.

Burton JH et al. Does end-tidal Carbon Dioxide Monitoring Detect Respiratory Events Prior to Current Sedation Monitoring Practices? Acad Emerg Med. 2006; 13(5):500-504.

Chebl RB et al. Diagnostic value of end tidal capnography in patients with hyperglycemia in the mergency department. BMC Emergency Medicine. 2016; 16:7

Deitch K et al. Does End Tidal CO2 Monitoring During Emergency Department Procedural Sedation and Analgesia with Propofol Decrease the Incidence of Hypoxic Events? Ann Emerg Med. 2010; 55(3):258-264.

Hunter CL et al. End-tidal carbon dioxide is associated with mortality and lactate in patients wit suspected sepsis.  Amer J Emerg Med. 2013; 31:64-71.

Hunter CL et al. Comparing Quick Sequential Organ Failure Assessment Scores to End-tidal Carbon Dioxide as Mortality Predictors in Prehospital Patients with Suspected Spesis. West J EM. 2018; 19(3):446-451.

Kartal M et al. ETCO2: a predictive tool for excluding metabolic disturbances in nonintubated patients. Amer J Emerg Med. 2011; 29:65-69.

Lightdale JR et al. Microstream Capnography Improves Patient Monitoring During Moderate Sedation: A Randomized, Controlled Trial. Pediatrics. 2006; 117(6):1170-1177.

Long B et al. Capnography in the Emergency Department. J Emerg Med. 2017; 53(6):829-842.

Nagler J et al. End-Tidal Carbon Dioxide as a Measure of Acidosis Among Children with Gastroenteritis. Pediatrics. 2006; 118(1):260-267.

Paiva EF et al. The use of end-tidal carbon dioxide measurement to guide management of cardiac arrest. Resuscitation. 2018; 1-7.

Reid C et al. Sustained life-like waveform capnography after human cadaveric tracheal intubation. Emerg Med J. 2015; 32:232-233.

Stone ME et al. End-tidal CO2 on admission is associated with hemorrhagic shock and predicts the need for massive transfusion as defined by the critical administration threshold: A pilot study. Injury. 2017; 51-57.

Yang HW et al.Usefulness of end-tidal carbon dioxide as an indicator of dehydration in pediatric emergency departments: A retrospective observational study. Medicine (Baltimore). 2017 Sep;96(35):e7881


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