PMID: 2121944Nov 1, 1990Paper

Transcutaneous carbon dioxide pressure for monitoring patients with severe croup

The Journal of Pediatrics
S FanconiC Mühlemann

Abstract

In a prospective investigation of 17 children with severe croup, we analyzed the effect of epinephrine inhalations and mild sedation with chloral hydrate on transcutaneous carbon dioxide pressure (tcPCO2), pulse oximetry measurements, and croup scores. There was a highly significant reduction (p less than 0.001) in the tcPCO2 values and croup scores after inhalation of epinephrine. The changes in the tcPCO2 values correlated with the clinical findings. Mild sedation also significantly improved the croup scores but failed to influence the tcPCO2 values. There was not statistically significant difference in pulse oximetry saturation, fraction of administered oxygen, heart rate, or respiratory rate before and after inhalation of epinephrine or chloral hydrate administration. Monitoring tcPCO2 appears to be a reliable and objective tool for managing patients with upper airway obstruction, whereas croup scores may be misleading.

Citations

Nov 17, 2007·Intensive Care Medicine·Andrew C ArgentMax Klein
Jun 30, 2004·Paediatric Respiratory Reviews·Ernst Eber
Jun 30, 2004·Paediatric Respiratory Reviews·Jürg Hammer
Aug 3, 1999·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·P Lebecque
Jan 28, 1998·American Journal of Respiratory and Critical Care Medicine·D W SteeleG D Jay
Jun 1, 1995·European Journal of Pediatrics·K De Boeck
Feb 26, 2008·Lancet·Candice L Bjornson, David W Johnson
Dec 1, 1996·Primary Care·A Uba
Mar 7, 2014·Pediatric Pulmonology·Argyri PetrocheilouAthanasios G Kaditis
May 2, 2001·The Cochrane Database of Systematic Reviews·M W Davies, P G Davis
Oct 12, 2013·The Cochrane Database of Systematic Reviews·Candice BjornsonDavid W Johnson
Dec 13, 2005·Pediatric Emergency Care·Candice Leigh Bjornson, David W Johnson
Dec 1, 1999·Critical Care Medicine·D A RauchP Bijur
May 5, 2000·The Cochrane Database of Systematic Reviews·M W Davies, P G Davis
Mar 1, 2002·The Cochrane Database of Systematic Reviews·M W Davies, P G Davis
May 4, 2000·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·F LeclercC Fourier

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