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机械通气的急性呼吸衰竭儿科患者同步毛细血管血气与呼气末二氧化碳的比较

Comparison of Simultaneous Capillary Blood Gases and End-Tidal Carbon Dioxide in Mechanically Ventilated Pediatric Patients with Acute Respiratory Failure.

作者信息

Konca Capan, Tekin Mehmet, Uckardes Fatih, Benli Samet, Kucuk Ahmet

机构信息

Division of Pediatric Intensive Care Unit, Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey.

Department of Pediatrics, School of Medicine, Adiyaman University, Adiyaman, Turkey.

出版信息

J Pediatr Intensive Care. 2021 Mar;10(1):58-64. doi: 10.1055/s-0040-1714096. Epub 2020 Jul 20.

DOI:10.1055/s-0040-1714096
PMID:33585063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7870332/
Abstract

In the follow-up of ventilation, invasive blood gas analysis and noninvasive monitoring of end-tidal carbon dioxide (ETCO ) are used. We aimed to investigate the relationship between capillary partial pressure of carbon dioxide (PcCO ) levels and ETCO and also to investigate ETCO 's predictive feature of PcCO levels. This study included 28 female and 30 male pediatric patients; 28 patients were type-1 respiratory failure (RF), 16 patients were acute respiratory distress syndrome, and 14 patients were type-2 RF. Our results showed a significant correlation between ETCO and PcCO . Although the strength of the correlation was weak throughout the measurements, the strength of this correlation increased significantly in type-2 RF.

摘要

在通气随访中,采用有创血气分析和呼气末二氧化碳(ETCO₂)无创监测。我们旨在研究毛细血管二氧化碳分压(PcCO₂)水平与ETCO₂之间的关系,并研究ETCO₂对PcCO₂水平的预测特征。本研究纳入了28名女性和30名男性儿科患者;28例为1型呼吸衰竭(RF),16例为急性呼吸窘迫综合征,14例为2型RF。我们的结果显示ETCO₂与PcCO₂之间存在显著相关性。尽管在整个测量过程中相关性强度较弱,但在2型RF中这种相关性强度显著增加。

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Respir Care. 2018 Jul;63(7):907-912. doi: 10.4187/respcare.05936. Epub 2018 May 8.
2
Poor performance of main-stream capnography in newborn infants during general anesthesia.全身麻醉期间主流二氧化碳监测仪在新生儿中的性能不佳。
Paediatr Anaesth. 2017 Dec;27(12):1235-1240. doi: 10.1111/pan.13266. Epub 2017 Oct 26.
3
Validity of sidestream endtidal carbon dioxide measurement in critically ill, mechanically ventilated children.侧流呼气末二氧化碳监测在危重症机械通气儿童中的有效性
Paediatr Anaesth. 2016 Mar;26(3):294-9. doi: 10.1111/pan.12827. Epub 2015 Dec 30.
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Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference.儿童急性呼吸窘迫综合征:儿童急性肺损伤共识会议的共识推荐
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