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Observations of Monitoring Carbon Dioxide Tension and Arterial Oxygen Saturation
We evaluated the performance of a novel combined earlobe sensor for noninvasive transcutaneous monitoring of Sp02 and PtcC02 in two different settings. The studies in critically ill patients revealed a clinically acceptable agreement of PtcC02 and its changes, and of Sp02 by the transcutaneous sensor with simultaneous measurements made by the “gold standard” (ie, the […]
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Outcomes of Monitoring Carbon Dioxide Tension and Arterial Oxygen Saturation
Results in Critically III Patients In the 18 patients, a total of 80 paired measurements by the earlobe sensor and by arterial blood gas analysis were obtained (mean, 4.4 ± 0.7 paired observations per patient) over a mean observation period of 160 ± 48 min. Nine patients received treatment with vasoactive drugs (ie, IV norepinephrine, […]
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Research of Monitoring Carbon Dioxide Tension and Arterial Oxygen Saturation
Patients Eighteen critically ill patients with indwelling arterial lines were studied in the ICU. Their mean (± SD) age was 62.6 ± 14 years. Sixteen patients had acute respiratory failure; 2 patients had experienced an acute myocardial infarction. Fifteen patients were receiving mechanical ventilation, and 9 patients required inotropic and vasoactive drug treatment. Twelve patients […]
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Canadian Health&Care Mall: Monitoring Carbon Dioxide Tension and Arterial Oxygen Saturation
Coninvasive respiratory monitoring has broad applications in the emergency department, in perioperative and intensive care, and for the evaluation of sleep-related breathing disturbances. Whereas arterial oxygen saturation (Sa02) is commonly estimated by pulse oximetry, PaC02 may be estimated from end-tidal carbon dioxide tension or transcuta-neous carbon dioxide tension (PtcC02). Since alterations in ventilation/perfusion matching and […]
Unplanned Extubation: Appendix
Our data suggest that patients receiving an FI02 >0.40 are at high risk for respiratory failure after unplanned extubation, while those receiving an FI02 <0.40 can be safely observed after such an event. Total ventilatory support before to unplanned extubation, estimated by We, was also significantly higher in the RI group other generic allegra. This […]
Unplanned Extubation: Conclusion
Reintubation after unplanned extubation should not be considered mandatory. Our reintubation incidence of only 78 percent (18 of 23 events) supports this position, and other series have reported reintubation rates as low as 31 percent.2 Furthermore, one group noted that 90 percent of the self-extubated patients in their study could have had more timely weaning […]
Unplanned Extubation: Discussion
Unplanned extubation—self-extubation or accidental extubation—occurs with surprising frequency in mechanically ventilated patients. In our study, the incidence of unplanned extubation was 7 percent, similar to the 8.5 percent to 16 percent reported in other studies. Furthermore, unplanned extubation is difficult to prevent, as evidenced by the fact that 65 percent of our patients had been […]