首页> 外文期刊>Journal of clinical monitoring and computing >Comparison of end-tidal CO2 measured by transportable capnometer (EMMA (TM) capnograph) and arterial pCO(2) in general anesthesia
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Comparison of end-tidal CO2 measured by transportable capnometer (EMMA (TM) capnograph) and arterial pCO(2) in general anesthesia

机译:在全身麻醉下通过可移动式二氧化碳分光计(EMMA(TM)二氧化碳分光计)和动脉pCO(2)测量的潮气末二氧化碳的比较

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An end-tidal CO2 monitor (capnometer) is used most often as a noninvasive substitute for PaCO2 in anesthesia, anesthetic recovery, and intensive care. Additionally, the wide spread on-site use of portable capnometers in emergency and trauma situations is now observed. This study was conducted to compare PaCO2 measurement between the EMMA (TM) portable-capnometer and sidestream capnometry. End-tidal CO2 (portable capnometer: EMMA (TM) capnograph, side stream capnometry module: Datex-Ohmeda S5 Anesthesia Monitor) levels were recorded at the time of arterial blood gas sampling of patients undergoing general anesthesia. Data were compared using the Bland and Altman method, and by evaluating the clinical significance performed by calculating the percent error (%). A total of 100 data were obtained from 35 patients. The bias of PaCO2 and portable capnometer was 6.0 mmHg, where the upper and lower limits of the agreement were 11.8 and 0.3 mmHg, respectively. The percent error was 18.0 %. The bias of side stream capnometry and portable capnometer was 2.2 mmHg, where the upper and the lower limits of the agreement were 6.0 and -1.6 mmHg, respectively. The percent error was 13.0 %. Significant differences between the PETCO2 and PaCO2 values of the EMMA (TM) portable-capnometer were not observed for patients undergoing general anesthesia.
机译:潮气末二氧化碳监测器(二氧化碳监测仪)最常在麻醉,麻醉恢复和重症监护中用作PaCO2的无创替代品。此外,现在可以观察到在紧急情况和外伤情况下便携式二氧化碳监测仪在现场的广泛使用。进行这项研究是为了比较EMMA(TM)便携式二氧化碳测定仪和侧流二氧化碳测定仪之间的PaCO2测量。在进行全身麻醉的患者进行动脉血气采样时,记录了潮气末的CO2(便携式二氧化碳监测仪:EMMA(TM)二氧化碳监测仪,侧流二氧化碳监测模块:Datex-Ohmeda S5麻醉监测仪)水平。使用Bland和Altman方法比较数据,并通过计算百分比误差(%)评估临床意义。从35位患者中总共获得了100份数据。 PaCO2和便携式二氧化碳测定仪的偏差为6.0 mmHg,协议的上限和下限分别为11.8和0.3 mmHg。百分比误差为18.0%。侧流式二氧化碳测定仪和便携式二氧化碳测定仪的偏差为2.2 mmHg,其中协议的上限和下限分别为6.0和-1.6 mmHg。百分比误差为13.0%。对于全身麻醉的患者,未观察到EMMA(TM)便携式二氧化碳测定仪的PETCO2和PaCO2值之间存在显着差异。

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