Nagler Joshua, Krauss Baruch
Division of Emergency Medicine, Department of Pediatrics, Children's Hospital Boston, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Emerg Med Clin North Am. 2008 Nov;26(4):881-97, vii. doi: 10.1016/j.emc.2008.08.005.
Capnography provides continuous, dynamic assessment of the ventilatory status of patients. Carbon dioxide physiology and the technology utilized in end-tidal carbon dioxide monitor devices are reviewed. Clinical applications with regard to ventilation and airway management are discussed, including: verification of endotracheal tube placement, continuous monitoring of tube position, monitoring during procedural sedation and in the obtunded patient, and assessment of patients with respiratory illnesses. Current guidelines for use of capnography within emergency medicine are included. Potential future applications are also presented.
二氧化碳监测提供对患者通气状态的连续、动态评估。本文回顾了二氧化碳生理学以及呼气末二氧化碳监测设备所采用的技术。讨论了在通气和气道管理方面的临床应用,包括:气管插管位置的确认、导管位置的连续监测、在程序性镇静期间和意识不清患者中的监测,以及对患有呼吸系统疾病患者的评估。文中纳入了急诊医学中使用二氧化碳监测的现行指南。还介绍了其未来潜在的应用。