Siobal Mark S
BSRC Program, Skyline College, San Bruno, California. Mr Siobal has disclosed relationships with Aerogen, Sunovion, and Mallinckrodt.
Respir Care. 2016 Oct;61(10):1397-416. doi: 10.4187/respcare.04919. Epub 2016 Sep 6.
In the past few decades, assessment of exhaled CO2 in both intubated and non-intubated patients has evolved into an essential component in many aspects of patient monitoring. Besides the basic assessment of ventilation, exhaled CO2 monitoring can provide valuable patient safety information and critical physiologic data in regard to the ventilation and perfusion matching in the lungs, cardiac output, and metabolic rate. Despite these important clinical monitoring benefits and widespread availability, exhaled CO2 monitoring is often underutilized. The purpose of this paper is to review the importance and present the extensive body of knowledge to support the use of exhaled CO2 monitoring in various areas of clinical practice. Advanced application concepts and the future development of exhaled CO2 monitoring will also be discussed.
在过去几十年中，对插管和非插管患者呼出二氧化碳的评估已发展成为患者监测诸多方面的重要组成部分。除了对通气进行基本评估外，呼出二氧化碳监测还能提供有关肺通气与灌注匹配、心输出量和代谢率的宝贵患者安全信息及关键生理数据。尽管有这些重要的临床监测益处且广泛可用，但呼出二氧化碳监测的使用常常未得到充分利用。本文旨在回顾其重要性，并呈现大量知识以支持在临床实践各领域使用呼出二氧化碳监测。还将讨论呼出二氧化碳监测的高级应用概念及未来发展。
