Utility of a novel quantitative handheld microstream capnometer during transport of critically ill children

The American Journal of Emergency Medicine
Sonia SinghMananda S Bhende

Abstract

Critically ill children often require endotracheal intubation before and during interhospital transport. Accurate placement and maintenance of the endotracheal tube (ETT) is crucial. The new Pediatric Advanced Life Support guidelines require confirmation of proper ETT position immediately after intubation and during transport by capnography or end-tidal carbon dioxide (ETco(2)) detection in all children with a perfusing rhythm. Currently, there are no practical alternatives for monitoring ETco(2) during pediatric transport. Therefore, we evaluated NPB-75, a quantitative handheld microstream capnometer, during transport of children to our urban children's hospital. Consecutive intubated patients who were transported by ground ambulance or rotorcraft were prospectively enrolled into the study. Physical examination, colorimetric CO(2) detector, pulse oximetry, and, in most cases, chest radiograph confirmed the initial ETT position. The capnometer was then attached, and ETco(2) readings were obtained before and during transport by nurses or respiratory therapists who also completed a brief questionnaire regarding the monitor immediately after every transport. A numerical light-emitting diode display and graphic liquid crystal displ...Continue Reading

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Citations

Aug 16, 2011·Pediatric Cardiology·Dianne L Atkins, Stuart Berger
Sep 17, 2009·Pediatric Emergency Care·Jesús López-HerceMaria José Solana
Dec 29, 2011·Emergency Medicine International·Stephen H Thomas, Annette O Arthur
Feb 25, 2014·The American Journal of Emergency Medicine·Umit KaldirimYakup Aksoy
Aug 5, 2008·Pediatric Clinics of North America·Robert M Bingham, Lester T Proctor
Oct 29, 2015·The American Journal of Emergency Medicine·Julia Fuzak FreemanLalit Bajaj
Jan 11, 2007·Air Medical Journal·Daniel D PriceMary E Fee
Aug 13, 2015·Journal of Clinical Monitoring and Computing·Kyung Woo KimJeong-Wook Lee
Mar 31, 2009·Journal of Critical Care·Melissa Langhan
Feb 13, 2013·The American Journal of Gastroenterology·Akira HoriuchiNaoki Tanaka
Dec 6, 2008·The American Journal of Clinical Nutrition·Hiroaki ZaiMasatomo Mori
Mar 24, 2018·Journal of Clinical Gastroenterology·Akira HoriuchiAkio Morikawa
Jul 1, 2017·Biochemistry and Cell Biology = Biochimie Et Biologie Cellulaire·Xilin XuJun Yang
Jan 2, 2021·Journal of Clinical Monitoring and Computing·Eiji Hirakawa, Satoshi Ibara

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