End-tidal Carbon Dioxide Monitoring in Pediatric Emergencies

Overview

Journal Pediatr Emerg Care

Specialties Emergency Medicine
Pediatrics

Date 2005 May 6

PMID 15874818

Citations 14

Authors

Kevin J Sullivan

Niranjan Kissoon

Salvatore R Goodwin

Affiliations

Soon will be listed here.

Abstract

End-tidal carbon dioxide (CO2) monitoring is useful in the prehospital setting, emergency department, intensive care unit, and operating room. Capnography provides valuable, timely information about the function of both the cardiovascular and respiratory systems. End-tidal CO2 monitoring is the single most useful method in confirming endotracheal tube position. It also provides information about dead space, cardiac output, and airway resistance. A thorough understanding of cardiopulmonary physiology and the technical nuances of capnometry is required for its optimal use in children. This review examines the basic physiology pertinent to end-tidal CO2 monitoring, its clinical applications, and evidence supporting its use in infants and children.

Citing Articles

Bias between capnometry and venous carbon dioxide during initial assessment of pediatric emergency department patients: A video-based study.

Stratton M, Overmann K, Zhang Y, Ruddy R J Am Coll Emerg Physicians Open. 2024; 5(3):e13170.

PMID: 38680203 PMC: 11046081. DOI: 10.1002/emp2.13170.

Monitoring persistent pulmonary hypertension of the newborn using the arterial to end tidal carbon dioxide gradient.

Williams E, Bednarczuk N, Nanjundappa M, Greenough A, Dassios T J Clin Monit Comput. 2023; 38(2):463-467.

PMID: 38150123 PMC: 10994866. DOI: 10.1007/s10877-023-01105-2.

End-tidal carbon dioxide tension is a reliable surrogate of arterial carbon dioxide tension across different oxygen, carbon dioxide and barometric pressures.

Manferdelli G, Narang B, Bourdillon N, Debevec T, Millet G ERJ Open Res. 2023; 9(2).

PMID: 37077546 PMC: 10107079. DOI: 10.1183/23120541.00507-2022.

Non-invasive carbon dioxide monitoring in neonates: methods, benefits, and pitfalls.

Sankaran D, Zeinali L, Iqbal S, Chandrasekharan P, Lakshminrusimha S J Perinatol. 2021; 41(11):2580-2589.

PMID: 34148068 PMC: 8214374. DOI: 10.1038/s41372-021-01134-2.

Usefulness of Measurement of End-tidal CO Using a Portable Capnometer in Patients with Chronic Respiratory Failure Receiving Long-term Oxygen Therapy.

Jo T, Inomata M, Takada K, Yoshimura H, Tone M, Awano N Intern Med. 2020; 59(14):1711-1720.

PMID: 32295998 PMC: 7434544. DOI: 10.2169/internalmedicine.3320-19.