Welcome to Part II of capnography uses in the ED. Capnography is increasingly being utilized in the ED, primarily for endotracheal intubation, cardiac arrest, and procedural sedation. This post will introduce you to several other uses for capnography.
When is Capnography Useful in the ED? Part II Read More »
Does End Tidal CO2 correlate with PaCO2 in Traumatic Brain Injury?
Your neurosurgeons and trauma team have accepted a transfer to your hospital for intensive management of a trauma patient who presented to a small community hospital with a traumatic subarachnoid hemorrhage and epidural hematoma after being involved in a motorcycle accident.
Upon arrival with the critical care transport team, the patient is already intubated and stable on a a ventilator with appropriate sedation and stable hemodynamics. However, the neurosurgeons are in the operating room managing a spontaneous intraparenchymal hemorrhage and there are no available ICU beds due to multiple gun shot victims from a gang fight that you finished admitting.
While the patient is in the ED, the neurosurgeons recommend maintaining eucapnea for the patient since while there are no acute signs of herniation.(1)
Can you use the end tidal CO2(etCO2) or do you need to rely on arterial blood gas (ABG) measurements to maintain PaCO2 between 35-40 mm Hg? […]
End Tidal CO2 in TBI Read More »