These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Transcutaneous PCO2 monitoring during initiation of noninvasive ventilation.
    Author: Storre JH, Steurer B, Kabitz HJ, Dreher M, Windisch W.
    Journal: Chest; 2007 Dec; 132(6):1810-6. PubMed ID: 18079217.
    Abstract:
    BACKGROUND: To assess the efficacy of transcutaneous Pco2 (Ptcco2) measurements for monitoring alveolar ventilation in patients requiring noninvasive positive-pressure ventilation (NPPV). METHODS: In a prospective study on method agreement pairs of Paco2 and Ptcco2 (SenTec Digital Monitor; SenTec AG; Therwil, Switzerland), measurements were performed every 10 min during the establishment of NPPV over a 4-h period in 10 patients (8 patients with COPD) presenting with acute-on-chronic hypercapnic respiratory failure, thus providing 250 pairs of measurement. RESULTS: Mean (+/- SD) Paco2 decreased from 67.2 +/- 11.9 mm Hg (Ptcco2, 65.5 +/- 13.9 mm Hg) to 54.6 +/- 8.8 mm Hg (Ptcco2, 47.8 +/- 8.8 mm Hg), and mean pH increased from 7.36 +/- 0.03 to 7.44 +/- 0.04. Following Ptcco2 assessment, Ptcco2 in the ensuing 2-min period was the strongest predictor for Paco2 compared to Ptcco2 in the ensuing 5-min period and to real-time measurements. Ptcco2 was highly correlated with Paco2 (r = 0.916; p < 0.001), as determined by linear regression analysis. The mean difference between Paco2 and Ptcco2 was 4.6 mm Hg, and the limits of agreement (bias +/- 1.96 SDs) ranged from -3.9 to 13.2 mm Hg, following the Bland and Altman analysis. Retrospective drift correction produced an even higher correlation (r = 0.956; p < 0.001) with lower limits of agreement (-1.7 to 7.5 mm Hg). CONCLUSIONS: Ptcco2 measurements provide a sensitive, continuous, and noninvasive method for monitoring alveolar ventilation in patients who are receiving short-term NPPV therapy. Drift correction of Ptcco2 measurements improves the accuracy of Ptcco2 monitoring compared to the "gold standard" Paco2 assessment. A lag time of approximately 2 min is present for reliable Ptcco2 values compared to Paco2 values. However, individual variance between Paco2 and Ptcco2 cannot be excluded. TRIAL REGISTRATION: www.uniklinik-freiburg.de/zks/live/uklregister/Oeffentlich.html Identifier:UKF001271.
    [Abstract] [Full Text] [Related] [New Search]