keyword
MENU ▼
Read by QxMD icon Read
search

Pediatric capnography

keyword
https://www.readbyqxmd.com/read/27609990/automatic-detection-of-endotracheal-intubation-during-the-anesthesia-procedure
#1
Ali Jalali, Mohamed Rehman, Arul Lingappan, C Nataraj
This paper is concerned with the mathematical modeling and detection of endotracheal (ET) intubation in children under general anesthesia during surgery. In major pediatric surgeries, the airway is often secured with an endotracheal tube (ETT) followed by initiation of mechanical ventilation. Clinicians utilize auscultation of breath sounds and capnography to verify correct ETT placement. However, anesthesia providers often delay timely charting of ET intubation. This latency in event documentation results in decreased efficacy of clinical decision support systems...
November 2016: Journal of Dynamic Systems, Measurement, and Control
https://www.readbyqxmd.com/read/27576441/current-methodological-and-technical-limitations-of-time-and-volumetric-capnography-in-newborns
#2
REVIEW
Gerd Schmalisch
Although capnography is a standard tool in mechanically ventilated adult and pediatric patients, it has physiological and technical limitations in neonates. Gas exchange differs between small and adult lungs due to the greater impact of small airways on gas exchange, the higher impact of the apparatus dead space on measurements due to lower tidal volume and the occurrence of air leaks in intubated patients. The high respiratory rate and low tidal volume in newborns, especially those with stiff lungs, require main-stream sensors with fast response times and minimal dead-space or low suction flow when using side-stream measurements...
August 30, 2016: Biomedical Engineering Online
https://www.readbyqxmd.com/read/27455341/capnography-use-during-intubation-and-cardiopulmonary-resuscitation-in-the-pediatric-emergency-department
#3
Adam Bullock, James M Dodington, Aaron J Donoghue, Melissa L Langhan
OBJECTIVE: Capnography is indicated as a guide to assess and monitor both endotracheal intubation and cardiopulmonary resuscitation (CPR). Our primary objective was to determine the effect of the 2010 American Heart Association (AHA) guidelines on the frequency of capnography use during critical events in children in the emergency department (ED). Our secondary objective was to examine associations between patient characteristics and capnography use among these patients. METHODS: A retrospective chart review was performed on children aged 0 to 21 years who were intubated or received CPR in 2 academic children's hospital EDs between January 2009 and December 2012...
July 23, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/26715770/a-comparison-of-carbon-dioxide-elimination-measurements-between-a-portable-indirect-calorimeter-and-volumetric-capnography-monitor-an-in-vitro-simulation
#4
Craig D Smallwood, Enid E Martinez, Nilesh M Mehta
BACKGROUND: Gas exchange measurements for carbon dioxide elimination (V̇CO2 ) and oxygen consumption (V̇O2 ) have been used to derive resting energy expenditure and guide energy prescription. Volumetric capnography is used in intensive care units and provides V̇CO2 measurements that could be used for titrating respiratory and nutritional support. We have recently suggested that measuring V̇CO2 may be sufficient to obtain a reasonable estimate of energy expenditure. However, data describing the accuracy of gas exchange measurement devices are limited...
March 2016: Respiratory Care
https://www.readbyqxmd.com/read/26714621/validity-of-sidestream-endtidal-carbon-dioxide-measurement-in-critically-ill-mechanically-ventilated-children
#5
Hylke H A C M van der Heijden, Gerben J Truin, Joyce Verhaeg, Peggy van der Pol, Joris Lemson
INTRODUCTION: Capnography is used to monitor the endtidal carbon dioxide tension (EtCO2) in exhaled gas. Sidestream capnography has great potential to monitor mechanically ventilated pediatric patients, given the continuous sampling from the endotracheal tube into a gas sensor. However, hemodynamic and respiratory impairments may reduce reliability and validity of sidestream capnography to monitor arterial carbon dioxide tension (PaCO2) in critically ill, mechanically ventilated children...
March 2016: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/26508582/use-of-capnographs-to-assess-quality-of-pediatric-ventilation-with-3-different-airway-modalities
#6
Julia Fuzak Freeman, Christopher Ciarallo, Lara Rappaport, Maria Mandt, Lalit Bajaj
OBJECTIVES: Prehospital pediatric airway management is difficult and controversial. Options include bag-mask ventilation (BMV), endotracheal tube (ETT), and laryngeal mask airway (LMA). Emergency Medical Services personnel report difficulty assessing adequacy of BMV during transport. Capnography, and capnograph tracings in particular, provide a measure of real-time ventilation currently used in prehospital medicine but have not been well studied in pediatric patients or with BMV. Our objective was to compare pediatric capnographs created with 3 airway modalities...
January 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/26354304/ventilation-monitoring-in-severe-pediatric-traumatic-brain-injury-at-nontrauma-centers
#7
Gregory Hansen, Jeff K Vallance
OBJECTIVE: Pediatric traumatic brain injury (TBI) guidelines should direct patient management. This retrospective study compared ventilation monitoring practices of nontrauma center (NTC) personnel and air medical crews (AMCs) in pediatric patients with severe TBI at NTCs after endotracheal intubation. METHODS: Pediatric patient charts for level I trauma center admissions between 2008 and 2013 with severe TBI were screened. Inclusion criteria included admission Glasgow Coma Scale score ≤ 8, head Abbreviated Injury Scale score of ≥ 3, and secure airway initiated or managed at an NTC...
September 2015: Air Medical Journal
https://www.readbyqxmd.com/read/26139200/evaluation-of-bedside-pulmonary-function-in-the-neonate-from-the-past-to-the-future
#8
REVIEW
F Reiterer, E Sivieri, S Abbasi
Pulmonary function testing and monitoring plays an important role in the respiratory management of neonates. A noninvasive and complete bedside evaluation of the respiratory status is especially useful in critically ill neonates to assess disease severity and resolution and the response to pharmacological interventions as well as to guide mechanical respiratory support. Besides traditional tools to assess pulmonary gas exchage such as arterial or transcutaenous blood gas analysis, pulse oximetry, and capnography, additional valuable information about global lung function is provided through measurement of pulmonary mechanics and volumes...
October 2015: Pediatric Pulmonology
https://www.readbyqxmd.com/read/26040512/long-term-tolerability-of-capnography-and-respiratory-inductance-plethysmography-for-respiratory-monitoring-in-pediatric-patients-treated-with-patient-controlled-analgesia
#9
Karen M Miller, Andrew Y Kim, Myron Yaster, Sapna R Kudchadkar, Elizabeth White, James Fackler, Constance L Monitto
BACKGROUND: The Anesthesia Patient Safety Foundation has advocated the use of continuous electronic monitoring of oxygenation and ventilation to preemptively identify opioid-induced respiratory depression. In adults, capnography is the gold standard in respiratory monitoring. An alternative technique used in sleep laboratories is respiratory inductance plethysmography (RIP). However, it is not known if either monitor is well tolerated by pediatric patients for prolonged periods of time...
October 2015: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/25819203/sedation-with-the-combination-of-ketamine-and-propofol-in-a-pediatric-ed-a-retrospective-case-series-analysis
#10
Eric Scheier, Chen Gadot, Ronit Leiba, Itai Shavit
BACKGROUND: Literature to date has suggested advantages of sedation with the combination of ketamine and propofol over ketamine alone or propofol alone. However, there is a paucity of data regarding sedation with the combination of ketamine and propofol in pediatric emergency medicine. METHODS: A retrospective case series analysis of children who underwent sedation with the combination of ketamine and propofol in a pediatric emergency department was conducted. Study covariates were extracted from the emergency department medical records...
June 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25445871/a-randomized-controlled-trial-of-capnography-during-sedation-in-a-pediatric-emergency-setting
#11
RANDOMIZED CONTROLLED TRIAL
Melissa L Langhan, Veronika Shabanova, Fang-Yong Li, Steven L Bernstein, Eugene D Shapiro
OBJECTIVE: Data suggest that capnography is a more sensitive measure of ventilation than standard modalities and detects respiratory depression before hypoxemia occurs. We sought to determine if adding capnography to standard monitoring during sedation of children increased the frequency of interventions for hypoventilation, and whether these interventions would decrease the frequency of oxygen desaturations. METHODS: We enrolled 154 children receiving procedural sedation in a pediatric emergency department...
January 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25119483/non-invasive-monitoring-in-mechanically-ventilated-pediatric-patients
#12
REVIEW
Awni M Al-Subu, Kyle J Rehder, Ira M Cheifetz, David A Turner
Cardiopulmonary monitoring is a key component in the evaluation and management of critically ill patients. Clinicians typically rely on a combination of invasive and non-invasive monitoring to assess cardiac output and adequacy of ventilation. Recent technological advances have led to the introduction: of continuous non-invasive monitors that allow for data to be obtained at the bedside of critically ill patients. These advances help to identify hemodynamic changes and allow for interventions before complications occur...
December 2014: Expert Review of Respiratory Medicine
https://www.readbyqxmd.com/read/25072474/pulmonary-deadspace-and-postoperative-outcomes-in-neonates-undergoing-stage-1-palliation-operation-for-single-ventricle-heart-disease
#13
Divya Shakti, Doff B McElhinney, Kimberlee Gauvreau, Vamsi V Yarlagadda, Peter C Laussen, Peter Betit, Mary L Myrer, Ravi R Thiagarajan
OBJECTIVES: Increased pulmonary dead space fraction (VD/VT) has been associated with prolonged mechanical ventilation after surgery for congenital heart disease. The association of VD/VT with clinical outcomes in neonates undergoing stage 1 palliation for single ventricle congenital heart disease has not been reported. We describe changes in VD/VT, differences in VD/VT based on shunt type (right ventricle to pulmonary artery conduit vs modified Blalock-Taussing shunt) and association of VD/VT with postoperative outcomes in patients undergoing stage 1 palliation...
October 2014: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/24732917/efficacy-of-chest-compressions-directed-by-end-tidal-co2-feedback-in-a-pediatric-resuscitation-model-of-basic-life-support
#14
COMPARATIVE STUDY
Jennifer L Hamrick, Justin T Hamrick, Jennifer K Lee, Benjamin H Lee, Raymond C Koehler, Donald H Shaffner
BACKGROUND: End-tidal carbon dioxide (ETCO2) correlates with systemic blood flow and resuscitation rate during cardiopulmonary resuscitation (CPR) and may potentially direct chest compression performance. We compared ETCO2-directed chest compressions with chest compressions optimized to pediatric basic life support guidelines in an infant swine model to determine the effect on rate of return of spontaneous circulation (ROSC). METHODS AND RESULTS: Forty 2-kg piglets underwent general anesthesia, tracheostomy, placement of vascular catheters, ventricular fibrillation, and 90 seconds of no-flow before receiving 10 or 12 minutes of pediatric basic life support...
April 14, 2014: Journal of the American Heart Association
https://www.readbyqxmd.com/read/24269547/-usefulness-of-capnography-for-monitoring-sedoanalgesia-influence-of-oxygen-on-the-parameters-monitored
#15
RANDOMIZED CONTROLLED TRIAL
A Mora Capín, C Míguez Navarro, R López López, R Marañón Pardillo
INTRODUCTION: To evaluate the usefulness of capnography for early detection of respiratory depression during sedoanalgesia procedures in the pediatric emergency department. To assess whether the administration of oxygen during the procedure can modify monitored parameters, thus delaying detection of respiratory depression. MATERIAL AND METHODS: A prospective randomized study was performed on children between 1 year and 16 years who underwent sedoanalgesia to perform diagnostic or therapeutic procedures...
January 2014: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/24219625/dr-m-digby-leigh-his-early-studies-of-capnography-and-their-practical-application-in-pediatric-cardiac-anesthesia
#16
David J Steward
No abstract text is available yet for this article.
February 2014: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/24033591/accuracy-of-acoustic-respiration-rate-monitoring-in-pediatric-patients
#17
MULTICENTER STUDY
Mario Patino, Daniel T Redford, Thomas W Quigley, Mohamed Mahmoud, C Dean Kurth, Peter Szmuk
BACKGROUND: Rainbow acoustic monitoring (RRa) utilizes acoustic technology to continuously and noninvasively determine respiratory rate from an adhesive sensor located on the neck. OBJECTIVE: We sought to validate the accuracy of RRa, by comparing it to capnography, impedance pneumography, and to a reference method of counting breaths in postsurgical children. METHODS: Continuous respiration rate data were recorded from RRa and capnography...
December 2013: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/23639659/advances-in-monitoring-and-management-of-pediatric-acute-lung-injury
#18
REVIEW
Ira M Cheifetz
This article focuses on the respiratory management and monitoring of pediatric acute lung injury (ALI) as a specific cause for respiratory failure. Definitive, randomized, controlled trials in pediatrics to guide optimal ventilatory management are few. The only adjunct therapy that has been proved to improve clinical outcome is low tidal volume ventilation, but only in adult patients. Careful monitoring of the patient's respiratory status with airway graphic analysis and capnography can be helpful. Definitive data are needed in the pediatric population to assist in the care of infants, children, and adolescents with ALI to improve survival and functional outcome...
June 2013: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/23189986/a-novel-intubation-technique-in-bilateral-cleft-palate-pediatric-patients-hard-gum-shield-aided-intubation
#19
RANDOMIZED CONTROLLED TRIAL
Ahmed Abdelaal Ahmed Mahmoud, Ahmed Zaghloul Fouad, Mohamed Ahmed Mansour, Ahmed Mostafa Kamal
BACKGROUND: Cleft palate anesthesia is challenging due to difficult airway. Left paraglossal intubation moves resting point of laryngoscope laterally but associated with narrower laryngoscopic view and possible trauma, and we invented the use of hard gum shield as a bridge over defective palate to facilitate intubation with possible wider window and defective tissue protection. METHODS: Eighty bilateral cleft palate children, ASA physical status I-II aged 9 months to 6 years scheduled for plastic surgery had general anesthesia, were involved in prospective, controlled, randomized study, and were randomly divided by closed envelope method into two groups: group I (40 patients): intubated by hard gum shield-aided intubation and group II (40 patients): intubated by left paraglossal intubation...
April 2013: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/22437095/anesthetic-equipment-facilities-and-services-available-for-pediatric-anesthesia-in-nigeria
#20
P Adudu
BACKGROUND: Facilities and equipment are known to contribute to improved patient care and outcome. Hospitals for sub-specialized pediatric anesthetic service are routinely available worldwide. In Nigeria, such hospitals now exist. It is therefore relevant to study the facilities and equipment available for pediatric anesthetic service to measure the quality of care in a health institution. MATERIALS AND METHODS: A prospective study of the anesthetic equipment, facilities and services available for pediatric anesthesia was carried out in Nigerian hospitals using anonymously administered questionnaires from October, 2008 to October, 2009, after relevant ethics approval...
January 2012: Nigerian Journal of Clinical Practice
keyword
keyword
50141
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"