Abstract:
:Volumetric capnography provides a breath-by-breath analysis of ventilation-perfusion imbalances and deadspace volumes. The technique has been best described in intubated and ventilated patients, but promising clinical applications also concern spontaneously breathing patients. The objective of the study was to verify the reliability and reproducibility of a new capnographic program in various types of clinical conditions. In a first step, 56 patients, either healthy or with acute respiratory disorders, were connected to a sidestream gas sampler and flow sensor through a mouthpiece. An acquisition software synchronized expired CO2 and flow data to create volumetric capnographic curves. Mixed expired CO2 partial pressure, corresponding to the exhaled CO2 of the effective tidal volume, was simultaneously collected in a neoprene bag for comparison. In a second step, changes in airway deadspace before and after the adjunction of known spacer volumes were compared in six healthy volunteers. The mean difference between both methods in measuring mixed expired CO2 partial pressure was -0.9 mmHg (SE 0.2 mmHg, P<0.001). The limits of agreement extended from -4.4 to 2.5 mmHg. The interobserver correlation coefficient for reproducibility was 0.98. Airway deadspace volume, after correction for extra volumes, was not statistically different than the basic value (P=0.89). In conclusion, volumetric capnography can be compared with references when used in spontaneously breathing patients. Future developments and clinical applications should clarify its role as a non-invasive method for deadspace and ventilation-perfusion imbalances analysis.
journal_name
Clin Physiol Funct Imagingjournal_title
Clinical physiology and functional imagingauthors
Verschuren F,Heinonen E,Clause D,Zech F,Reynaert MS,Liistro Gdoi
10.1111/j.1475-097X.2005.00620.xkeywords:
subject
Has Abstractpub_date
2005-09-01 00:00:00pages
275-80issue
5eissn
1475-0961issn
1475-097Xpii
CPF620journal_volume
25pub_type
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