Carbon dioxide monitoring in children-A narrative review of physiology, value, and pitfalls in clinical practice

© 2021 John Wiley & Sons Ltd..

Continuous capnography has been recognised as an essential monitoring device in all anesthetized patients, despite which airway device is in use, regardless of their location, as a measure to improve patient safety. Capnography is the non-invasive measurement of a sample of the exhaled carbon dioxide which has multiple clinical uses including as a method to confirm placement of a tracheal tube and/or to assess ventilation, perfusion and metabolism. Notably, capnography is used during routine paediatric anesthesia to assess ventilation and as a surrogate measure for arterial carbon dioxide pressure. The inaccuracies associated with these surrogate measures need to be considered to inform improved ventilation management of infants and children. This review highlights some major principles to understand the carbon dioxide elimination, the physiology of paediatric capnography, the clinical application and the limitations of capnography during anesthesia for neonates, infants and small children.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

Paediatric anaesthesia - 31(2021), 8 vom: 19. Aug., Seite 839-845

Sprache:

Englisch

Beteiligte Personen:

Humphreys, Susan [VerfasserIn]
Schibler, Andreas [VerfasserIn]
von Ungern-Sternberg, Britta S [VerfasserIn]

Links:

Volltext

Themen:

142M471B3J
Anesthesia
Carbon Dioxide
Carbon dioxide
Intensive care
Journal Article
Monitoring
Pediatric
Review
Ventilation

Anmerkungen:

Date Completed 04.08.2021

Date Revised 04.08.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/pan.14208

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325586993