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About:
Comparison of arterial CO(2) estimation by end-tidal and transcutaneous CO(2) measurements in intubated children and variability with subject related factors
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Academic Article
research paper
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has title
Comparison of arterial CO(2) estimation by end-tidal and transcutaneous CO(2) measurements in intubated children and variability with subject related factors
Creator
Anıl, ·
Aslan, Usta
Bektaş, Doğan
Duyu, Muhterem
Karakaya, Zeynep
Leblebici, Ören
Meral Bahar, ·
Meryem, ·
Mine, ·
Nur, Aslı
Seyhan Yılmaz, ·
Yasemin, ·
Yersel, Nihal
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PMC
abstract
Transcutaneous PCO(2) (P(TC)CO(2)) and end-tidal PCO(2) (P(ET)CO(2)) measurement methods serve as alternatives to arterial PCO(2) (PaCO(2)), providing continuous non-invasive monitoring. The objective of this study was to evaluate the P(TC)CO(2) and P(ET)CO(2) methods with actual PaCO(2) levels, and to assess the variability of measurements in relation to subject-related factors, such as skin and subcutaneous adipose tissue thickness and presence of pulmonary diseases. P(TC)CO(2), P(ET)CO(2) and PaCO(2) were measured at the same time in intubated pediatric subjects. Subjects’ demographic characteristics, clinical features, laboratory parameters, skin and subcutaneous adipose tissue thickness were identified. The study was carried out on 102 subjects with a total of 1118 values for each method. In patients with non-pulmonary disease, the mean difference between P(TC)CO(2) and PaCO(2) was − 0.29 mmHg (± 6.05), while it was 0.44 mmHg (± 6.83) bias between P(ET)CO(2) and PaCO(2). In those with pulmonary diseases, the mean difference between P(TC)CO(2) and PaCO(2) was − 1.27 mmHg (± 8.32), while it was − 4.65 mmHg (± 9.01) between P(ET)CO(2) and PaCO(2). Multiple linear regression demonstrated that increased subcutaneous adipose tissue thickness, core body temperature and inotropic index were related with higher P(TC)CO(2) values relative to the actual PCO(2) values. Other factors, such as skin tissue thickness, presence of pulmonary disease, measurement location and measurement times were non-significant. The P(TC)CO(2) method has higher reliability than the P(ET)CO(2) method, and P(TC)CO(2) measurements are not influenced by most subject-related factors; however, core body temperature, inotropic index and subcutaneous adipose tissue thickness can lead to significant differences in PCO(2) measurement.
has issue date
2020-07-27
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bibo:doi
10.1007/s10877-020-00569-w
has license
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sha1sum (hex)
3f1c3012b0462965a2aa88b44c7231099a98a5f7
schema:url
https://doi.org/10.1007/s10877-020-00569-w
resource representing a document's title
Comparison of arterial CO(2) estimation by end-tidal and transcutaneous CO(2) measurements in intubated children and variability with subject related factors
has PubMed Central identifier
PMC7384390
schema:publication
J Clin Monit Comput
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covid:3f1c3012b0462965a2aa88b44c7231099a98a5f7#body_text
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named entity 'time'
named entity 'identified'
named entity 'non-invasive'
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named entity 'Comparison'
named entity '28P'
named entity 'SIGNIFICANT'
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named entity 'study'
named entity 'Multiple linear regression'
named entity 'inotropic'
named entity 'relative'
named entity 'times'
named entity 'demonstrated'
named entity 'Other'
named entity 'mmHg'
named entity 'Subjects'
named entity 'assess'
named entity 'adipose tissue'
named entity 'disease'
named entity 'tissue'
named entity 'PaCO'
named entity 'intubated'
named entity 'subcutaneous'
named entity 'factors'
named entity 'subcutaneous adipose tissue'
named entity 'intubated'
named entity 'inotropic'
named entity 'subcutaneous adipose tissue'
named entity 'subcutaneous adipose tissue'
named entity 'pulmonary disease'
named entity 'non-significant'
named entity 'mmHg'
named entity 'PICU'
named entity 'mm Hg'
named entity 'electrode'
named entity 'blood loss'
named entity 'carbon dioxide'
named entity 'skin thickness'
named entity 'Radiometer'
named entity 'statistically significant'
named entity 'abdomen'
named entity 'Wilcoxon Signed Rank test'
named entity 'Istanbul Medeniyet University'
named entity 'non-invasive'
named entity 'mmHg'
named entity 'Seattle'
named entity 'edema'
named entity 'core body temperature'
named entity 'subcutaneous adipose tissue'
named entity 'sensor'
named entity 'air leakage'
named entity 'inotropic'
named entity 'pulmonary diseases'
named entity 'hemodynamic'
named entity 'ultrasonography'
named entity 'lung disease'
named entity 'Bonferroni correction'
named entity 'mechanically ventilated'
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named entity 'respiratory function'
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named entity 'pulse oximetry'
named entity 'Sensor'
named entity 'skin thickness'
named entity 'body temperature'
named entity 'critically ill'
named entity 'correlation'
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