Good estimation of arterial carbon dioxide by end-tidal carbon dioxide monitoring in the neonatal intensive care unit

2003 ◽  
Vol 35 (4) ◽  
pp. 292-295 ◽  
Author(s):  
Chia-Hua Wu ◽  
Hung-Chieh Chou ◽  
Wu-Shiun Hsieh ◽  
Wai-Kong Chen ◽  
Pei-Yu Huang ◽  
...  
PEDIATRICS ◽  
1998 ◽  
Vol 101 (4) ◽  
pp. 648-653 ◽  
Author(s):  
Henry J. Rozycki ◽  
Gregory D. Sysyn ◽  
M. Kathy Marshall ◽  
Raymond Malloy ◽  
Thomas E. Wiswell

Author(s):  
Emma Williams ◽  
Theodore Dassios ◽  
Niamh O’Reilly ◽  
Alison Walsh ◽  
Anne Greenough

2011 ◽  
Vol 47 (4) ◽  
pp. 367-372 ◽  
Author(s):  
Daniele Trevisanuto ◽  
Stephanie Giuliotto ◽  
Francesco Cavallin ◽  
Nicoletta Doglioni ◽  
Silvia Toniazzo ◽  
...  

1995 ◽  
Vol 4 (2) ◽  
pp. 116-121 ◽  
Author(s):  
MA Christensen ◽  
J Bloom ◽  
KR Sutton

BACKGROUND: Hyperventilation is a frequently used method for inducing hypercarbia in neurosurgical patients. This practice requires careful carbon dioxide monitoring that might be replaced by a less expensive and less invasive alternative to arterial blood gas monitoring. OBJECTIVE: To determine the accuracy of end-tidal carbon dioxide monitoring in hyperventilated neurosurgical patients. METHODS: Nineteen adult patients requiring hyperventilation for the reduction of intracranial pressure following head injury or neurosurgery were enrolled from the surgical intensive care unit of a level I trauma center. A correlation design was used to compare arterial carbon dioxide tensions and end-tidal carbon dioxide measurements during specific periods; secondary analysis with bias and precision estimates was performed. Also, changes in arterial carbon dioxide tensions were compared with simultaneous changes in end-tidal carbon dioxide values. RESULTS: End-tidal carbon dioxide values showed a moderately acceptable correlation with arterial blood gas measurements. However, changes in end-tidal carbon dioxide values failed to correlate with simultaneous changes in arterial carbon dioxide tension measures. Bias and precision measures confirmed these findings. CONCLUSION: In this patient sample, changes in end-tidal carbon dioxide values did not accurately reflect changes in arterial carbon dioxide tension levels in the intensive care setting. Further technological advances in noninvasive carbon dioxide monitoring may lead to a significant cost savings over traditional arterial blood gas analysis.


2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.


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