End-tidal CO2 as a function of tidal volume in mechanically ventilated infants

被引：0
作者：
Greer, KJ [1 ]
Bowen, WA [1 ]
Krauss, AN [1 ]
机构：
[1] New York Presbyterian Hosp, Weill Cornell Med Ctr, Dept Pediat, Perinatol Ctr, New York, NY 10021 USA
来源：
AMERICAN JOURNAL OF PERINATOLOGY | 2003年 / 20卷 / 08期
关键词：
mechanical ventilation; preterm infants; end-tidal CO2;
D O I：
暂无
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objective: To test the hypothesis that end-tidal CO2 (PETCO2) varies with tidal volume (Vt) in preterm infants. Design: Intervention study, nonrandomized trial. Setting: Neonatal ICU, regional referral center. Subjects: 29 preterm infants 790 to 2135 g in weight requiring mechanical ventilation studied on 73 occasions. Intervention: Measurement of PETCO2 during variations of Vt. Measurement: Statistical correlation of PETCO2 to Vt. Result: PETCO2 is minimal when Vt is either too low or too high. Conclusion: Vt, through its effect on dead space/Vt (Vd/Vt) ratios and arterial-alveolar CO 2 differences, has a significant effect on PETCO2. Observation of PETCO2 across a range of Vt can be used to select an appropriate Vt for preterm infants requiring mechanical ventilation.
引用
收藏
页码：447 / 451
页数：5
相关论文
共 50 条
[1]   System Identification and Closed-Loop Control of End-Tidal CO2 in Mechanically Ventilated Patients [J].
Hahn, Jin-Oh ;
Dumont, Guy A. ;
Ansermino, J. Mark .
IEEE TRANSACTIONS ON INFORMATION TECHNOLOGY IN BIOMEDICINE, 2012, 16 (06) :1176-1184
[2]   A Novel Method of Distal End-Tidal CO2 Capnography in Intubated Infants: Comparison With Arterial CO2 and With Proximal Mainstream End-Tidal CO2 [J].
Kugelman, Amir ;
Zeiger-Aginsky, Dana ;
Bader, David ;
Shoris, Irit ;
Riskin, Arieh .
PEDIATRICS, 2008, 122 (06) :E1219-E1224
[3]   Use of Maximum End-Tidal CO2 Values to Improve End-Tidal CO2 Monitoring Accuracy [J].
Galia, Fabrice ;
Brimioulle, Serge ;
Bonnier, Frederic ;
Vandenbergen, Nicolas ;
Dojat, Michel ;
Vincent, Jean-Louis ;
Brochard, Laurent J. .
RESPIRATORY CARE, 2011, 56 (03) :278-283
[4]   Noninvasive Estimation of Arterial Co2 From End-Tidal Co2 in Mechanically Ventilated Children: The GRAeDIENT Pilot Study [J].
Baudin, Florent ;
Bourgoin, Pierre ;
Brossier, David ;
Essouri, Sandrine ;
Emeriaud, Guillaume ;
Wysocki, Marc ;
Jouvet, Philippe .
PEDIATRIC CRITICAL CARE MEDICINE, 2016, 17 (12) :1117-1123
[5]   Assessment of sidestream end-tidal capnography in ventilated infants on the neonatal unit [J].
Williams, Emma ;
Dassios, Theodore ;
Greenough, Anne .
PEDIATRIC PULMONOLOGY, 2020, 55 (06) :1468-1473
[6]   Tidal Volume Requirement in Mechanically Ventilated Infants with Meconium Aspiration Syndrome [J].
Sharma, Saumya ;
Clark, Shane ;
Abubakar, Kabir ;
Keszler, Martin .
AMERICAN JOURNAL OF PERINATOLOGY, 2015, 32 (10) :916-919
[7]   Comparison of ventilator-integrated end-tidal CO2 and transcutaneous CO2 monitoring in home-ventilated neuromuscular patients [J].
Orlikowski, David ;
Prigent, Helene ;
Ambrosi, Xavier ;
Vaugier, Isabelle ;
Pottier, Sandra ;
Annane, Djillali ;
Lofaso, Frederic ;
Ogna, Adam .
RESPIRATORY MEDICINE, 2016, 117 :7-13
[8]   Closed-loop Ventilation of Oxygenation and End-tidal CO2 [J].
Pomprapa, Anake ;
Misgeld, Berno ;
Lachmann, Burkhard ;
Walter, Marian ;
Leonhardt, Steffen .
2013 IEEE INTERNATIONAL CONFERENCE ON SYSTEMS, MAN, AND CYBERNETICS (SMC 2013), 2013, :2231-2237
[9]   An Empirical Model of End-Tidal CO2 Response to Minute Ventilation [J].
Hahn, Jin-Oh ;
Shrawane, Prasad ;
Dumont, Guy A. ;
Ansermino, J. Mark .
2010 ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY (EMBC), 2010, :524-527
[10]   An evaluation of end-tidal CO2 change following alterations in ventilation frequency [J].
Jensen, M. C. ;
Lozano, S. ;
Gottlieb, D. ;
Guttmann, J. ;
Moeller, K. .
4TH EUROPEAN CONFERENCE OF THE INTERNATIONAL FEDERATION FOR MEDICAL AND BIOLOGICAL ENGINEERING, 2009, 22 (1-3) :1113-1116
12345