Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients
Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutane...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Rodriguez, Pablo [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2006 |
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| Schlagwörter: |
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| Anmerkung: |
© Springer-Verlag 2005 |
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| Übergeordnetes Werk: |
Enthalten in: Intensive care medicine - Berlin : Springer, 1975, 32(2006), 2 vom: 31. Jan., Seite 309-312 |
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| Übergeordnetes Werk: |
volume:32 ; year:2006 ; number:2 ; day:31 ; month:01 ; pages:309-312 |
| Links: |
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| DOI / URN: |
10.1007/s00134-005-0006-4 |
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| Katalog-ID: |
SPR001191926 |
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| 100 | 1 | |a Rodriguez, Pablo |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients |
| 264 | 1 | |c 2006 | |
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| 520 | |a Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. | ||
| 650 | 4 | |a Blood gas monitoring |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a ICU monitoring |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Transcutaneous |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Lellouche, François |4 aut | |
| 700 | 1 | |a Aboab, Jerome |4 aut | |
| 700 | 1 | |a Buisson, Christian Brun |4 aut | |
| 700 | 1 | |a Brochard, Laurent |4 aut | |
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10.1007/s00134-005-0006-4 doi (DE-627)SPR001191926 (SPR)s00134-005-0006-4-e DE-627 ger DE-627 rakwb eng Rodriguez, Pablo verfasserin aut Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. Blood gas monitoring (dpeaa)DE-He213 ICU monitoring (dpeaa)DE-He213 Transcutaneous (dpeaa)DE-He213 Lellouche, François aut Aboab, Jerome aut Buisson, Christian Brun aut Brochard, Laurent aut Enthalten in Intensive care medicine Berlin : Springer, 1975 32(2006), 2 vom: 31. Jan., Seite 309-312 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:32 year:2006 number:2 day:31 month:01 pages:309-312 https://dx.doi.org/10.1007/s00134-005-0006-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2006 2 31 01 309-312 |
| spelling |
10.1007/s00134-005-0006-4 doi (DE-627)SPR001191926 (SPR)s00134-005-0006-4-e DE-627 ger DE-627 rakwb eng Rodriguez, Pablo verfasserin aut Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. Blood gas monitoring (dpeaa)DE-He213 ICU monitoring (dpeaa)DE-He213 Transcutaneous (dpeaa)DE-He213 Lellouche, François aut Aboab, Jerome aut Buisson, Christian Brun aut Brochard, Laurent aut Enthalten in Intensive care medicine Berlin : Springer, 1975 32(2006), 2 vom: 31. Jan., Seite 309-312 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:32 year:2006 number:2 day:31 month:01 pages:309-312 https://dx.doi.org/10.1007/s00134-005-0006-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2006 2 31 01 309-312 |
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10.1007/s00134-005-0006-4 doi (DE-627)SPR001191926 (SPR)s00134-005-0006-4-e DE-627 ger DE-627 rakwb eng Rodriguez, Pablo verfasserin aut Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. Blood gas monitoring (dpeaa)DE-He213 ICU monitoring (dpeaa)DE-He213 Transcutaneous (dpeaa)DE-He213 Lellouche, François aut Aboab, Jerome aut Buisson, Christian Brun aut Brochard, Laurent aut Enthalten in Intensive care medicine Berlin : Springer, 1975 32(2006), 2 vom: 31. Jan., Seite 309-312 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:32 year:2006 number:2 day:31 month:01 pages:309-312 https://dx.doi.org/10.1007/s00134-005-0006-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2006 2 31 01 309-312 |
| allfieldsGer |
10.1007/s00134-005-0006-4 doi (DE-627)SPR001191926 (SPR)s00134-005-0006-4-e DE-627 ger DE-627 rakwb eng Rodriguez, Pablo verfasserin aut Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. Blood gas monitoring (dpeaa)DE-He213 ICU monitoring (dpeaa)DE-He213 Transcutaneous (dpeaa)DE-He213 Lellouche, François aut Aboab, Jerome aut Buisson, Christian Brun aut Brochard, Laurent aut Enthalten in Intensive care medicine Berlin : Springer, 1975 32(2006), 2 vom: 31. Jan., Seite 309-312 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:32 year:2006 number:2 day:31 month:01 pages:309-312 https://dx.doi.org/10.1007/s00134-005-0006-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2006 2 31 01 309-312 |
| allfieldsSound |
10.1007/s00134-005-0006-4 doi (DE-627)SPR001191926 (SPR)s00134-005-0006-4-e DE-627 ger DE-627 rakwb eng Rodriguez, Pablo verfasserin aut Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients 2006 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2005 Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. Blood gas monitoring (dpeaa)DE-He213 ICU monitoring (dpeaa)DE-He213 Transcutaneous (dpeaa)DE-He213 Lellouche, François aut Aboab, Jerome aut Buisson, Christian Brun aut Brochard, Laurent aut Enthalten in Intensive care medicine Berlin : Springer, 1975 32(2006), 2 vom: 31. Jan., Seite 309-312 (DE-627)253724104 (DE-600)1459201-0 1432-1238 nnns volume:32 year:2006 number:2 day:31 month:01 pages:309-312 https://dx.doi.org/10.1007/s00134-005-0006-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 32 2006 2 31 01 309-312 |
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English |
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Enthalten in Intensive care medicine 32(2006), 2 vom: 31. Jan., Seite 309-312 volume:32 year:2006 number:2 day:31 month:01 pages:309-312 |
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Enthalten in Intensive care medicine 32(2006), 2 vom: 31. Jan., Seite 309-312 volume:32 year:2006 number:2 day:31 month:01 pages:309-312 |
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Blood gas monitoring ICU monitoring Transcutaneous |
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Intensive care medicine |
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Rodriguez, Pablo @@aut@@ Lellouche, François @@aut@@ Aboab, Jerome @@aut@@ Buisson, Christian Brun @@aut@@ Brochard, Laurent @@aut@@ |
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2006-01-31T00:00:00Z |
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Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Blood gas monitoring</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">ICU monitoring</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Transcutaneous</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Lellouche, François</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Aboab, Jerome</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Buisson, Christian Brun</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Brochard, Laurent</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Intensive care medicine</subfield><subfield code="d">Berlin : Springer, 1975</subfield><subfield code="g">32(2006), 2 vom: 31. 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Rodriguez, Pablo |
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Rodriguez, Pablo misc Blood gas monitoring misc ICU monitoring misc Transcutaneous Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients |
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Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients Blood gas monitoring (dpeaa)DE-He213 ICU monitoring (dpeaa)DE-He213 Transcutaneous (dpeaa)DE-He213 |
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misc Blood gas monitoring misc ICU monitoring misc Transcutaneous |
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misc Blood gas monitoring misc ICU monitoring misc Transcutaneous |
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misc Blood gas monitoring misc ICU monitoring misc Transcutaneous |
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Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients |
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Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients |
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Intensive care medicine |
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Rodriguez, Pablo Lellouche, François Aboab, Jerome Buisson, Christian Brun Brochard, Laurent |
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transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients |
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Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients |
| abstract |
Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. © Springer-Verlag 2005 |
| abstractGer |
Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. © Springer-Verlag 2005 |
| abstract_unstemmed |
Objective To evaluate the accuracy of transcutaneous $ PCO_{2} $ ($ PtcCO_{2} $) as a surrogate for arterial $ PCO_{2} $ ($ PaCO_{2} $) in a cohort of adult critically ill patients in a medical intensive care unit (ICU). Design Prospective observational study comparing paired measures of transcutaneous and arterial $ PCO_{2} $. Setting A 26-bed medical ICU. Patients Fifty ICU patients monitored with a SenTec Digital Monitor placed at the ear lobe over prolonged periods. Results A total of 189 paired $ PCO_{2} $ measures were obtained. Twenty-one were excluded from analysis, because profound skin vasoconstriction was present ($ PCO_{2} $ bias = −10.8 ± 21.8 mmHg). Finally, 168 were analysed, including 137 obtained during mechanical ventilation and 82 under catecholamine treatment. Body temperature was below 36°C for 27 measurements. Mean duration of monitoring was 17 ± 17 h. The mean difference between $ PaCO_{2} $ and $ PtcCO_{2} $ was −0.2 ± 4.6 mmHg with a tight correlation (R2 = 0.92, p > 0.01). $ PCO_{2} $ bias did not significantly change among three successive measurements. Changes in $ PaCO_{2} $ and in $ PtcCO_{2} $ between two blood samples were well correlated (R2 = 0.78, p > 0.01). Variations of more than 8 mmHg in $ PtcCO_{2} $ had 86% sensitivity and 80% specificity to correctly predict similar changes in $ PaCO_{2} $ in the same direction. Catecholamine dose or respiratory support did not affect $ PtcCO_{2} $ accuracy. Hypothermia has only a small effect on accuracy. No complication related to a prolonged use of the sensor was observed Conclusion Transcutaneous $ PCO_{2} $ provides a safe and reliable trend-monitoring tool, provided there is no major vasoconstriction. © Springer-Verlag 2005 |
| collection_details |
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Transcutaneous arterial carbon dioxide pressure monitoring in critically ill adult patients |
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https://dx.doi.org/10.1007/s00134-005-0006-4 |
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Lellouche, François Aboab, Jerome Buisson, Christian Brun Brochard, Laurent |
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10.1007/s00134-005-0006-4 |
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| score |
7.4002113 |