Ward K R, Yealy D M
Department of Emergency Medicine, Case Western Reserve University-Henry Ford Health Sciences Center, Henry Ford Hospital, Detroit, MI 48202, USA.
Acad Emerg Med. 1998 Jun;5(6):637-46. doi: 10.1111/j.1553-2712.1998.tb02474.x.
End-tidal carbon dioxide (PetCO2) monitoring is becoming more common in both the ED and the out-of-hospital setting. Its main use has been as an aid when confirming endotracheal intubation. Other uses in the ED include monitoring CPR efforts and monitoring the ventilatory and hemodynamic status of intubated and nonintubated patients. In addition, future uses may include using PetCO2 as an adjunct when monitoring the status of asthma treatment, when making the diagnosis of pulmonary embolism, and when measuring cardiac output noninvasively. This article reviews these specific uses of PetCO2 monitoring in emergency medicine.
呼气末二氧化碳(PetCO2)监测在急诊科(ED)和院外环境中越来越普遍。其主要用途一直是在确认气管插管时提供辅助。在急诊科的其他用途包括监测心肺复苏效果以及监测插管和未插管患者的通气和血流动力学状态。此外,未来的用途可能包括在监测哮喘治疗状态、诊断肺栓塞以及无创测量心输出量时将PetCO2用作辅助手段。本文综述了PetCO2监测在急诊医学中的这些具体用途。