End-tidal carbon dioxide monitoring in the prehospital setting

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
M S Bhende, D C LaCovey

Abstract

End-tidal carbon dioxide (ETCO2) monitoring is an exciting technology and has the potential to become a very useful tool in the prehospital setting. It can be useful in verifying endotracheal tube position and during cardiopulmonary resuscitation in the field. Recent reports of misplaced endotracheal tubes in the prehospital setting make it important to ensure that paramedics learn correct techniques of endotracheal intubation, and that they verify tube placement with an ETCO2 monitor. The new American Heart Association guidelines require secondary confirmation of proper tube placement in all patients by exhaled CO2 immediately after intubation and during transport. This article covers the terminology, the basic physiology, the technology (both colorimetric detectors and infrared capnometers), and the clinical applications of ETCO2 monitoring with special reference to the pediatric patient.

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Citations

Jun 14, 2005·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Takuji YoshidaHideki Nakahara
Jun 17, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Melissa L LanghanLei Chen
May 16, 2018·The Western Journal of Emergency Medicine·Ashley SanelloGregory H Gilbert
Jul 17, 2010·Journal of Clinical Monitoring and Computing·Naveen Eipe, Dermot R Doherty
Oct 20, 2010·Resuscitation·Jerry P NolanUNKNOWN ERC Guidelines Writing Group

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Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
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