Attending Physician of Emergency Medicine, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey.
Prehosp Disaster Med. 2020 Apr;35(2):229-230. doi: 10.1017/S1049023X20000187. Epub 2020 Feb 10.
End-tidal carbon dioxide (EtCO2) is a non-invasive method giving information about the perfusion, ventilation, and metabolic condition of patients. The correlation was studied here between the metabolic (pH, bicarbonate) values and EtCO2 during the treatment of diabetic ketoacidosis (DKA).
A 23-year-old male patient with diabetes mellitus was admitted to the emergency department (ED) with the complaints of nausea, vomiting, and fever. The patient with a diagnosis of DKA was continuously monitored with EtCO2; EtCO2 was correlated with serum bicarbonate (HCO3; r = 0.96; P < .001) and pH (r = 0.93; P < .001).
Continuous EtCO2 monitoring should be considered by emergency physicians in the metabolic monitoring of the patients as it is an easy-to-use, non-invasive, and cost-effective method that provides instant and reliable information.
呼气末二氧化碳（EtCO2）是一种非侵入性的方法，可以提供有关患者灌注、通气和代谢状况的信息。本研究旨在探讨在治疗糖尿病酮症酸中毒（DKA）期间代谢（pH 值、碳酸氢盐）值与 EtCO2 之间的相关性。
一名 23 岁男性糖尿病患者因恶心、呕吐和发热而被收入急诊部（ED）。诊断为 DKA 的患者连续监测 EtCO2；EtCO2 与血清碳酸氢盐（HCO3；r = 0.96；P <.001）和 pH 值（r = 0.93；P <.001）相关。
急诊医生在代谢监测中应考虑连续 EtCO2 监测，因为它是一种易于使用、非侵入性且具有成本效益的方法，可提供即时可靠的信息。
