Capnometry during neonatal transport-Mini review

Authors

FUČÍKOVÁ Hana BLATNÝ Jan ŠTINGL Jan MILETIN Jan

Year of publication 2023
Type Article in Periodical
Magazine / Source ACTA PAEDIATRICA
MU Faculty or unit

Faculty of Medicine

Citation
Web https://onlinelibrary.wiley.com/doi/10.1111/apa.16729
Doi http://dx.doi.org/10.1111/apa.16729
Keywords capnometry; carbon dioxide monitoring; etCO(2); mechanical ventilation; neonatal transport
Description AimThe aim of this review was to give an overview of available data on end-tidal CO2 (etCO(2)) monitoring, also called capnometry, during neonatal transport. MethodsPubmed/MEDLINE database was searched using research question (capno* OR etCO2 OR detCO2 OR (['end tidal' OR 'end-tidal'] AND [CO2 OR 'carbon dioxide']) AND (neonat* OR infant* OR newborn*) AND transport*). All articles relevant to the topic were reviewed and summarised. ResultsThe lack of studies relevant to neonatal transport prompted us to extend the search to capnometry in a neonatal intensive care setting. The published studies are showing conflicting results. The different study populations, technologies used to measure etCO(2), types of etCO(2) sampling and the diverse sites of blood gas tests make the data unsuitable for systematic comparison. ConclusionFurther research to obtain more data on capnometry during neonatal transport will be necessary to define precisely under what circumstances can end-tidal monitoring of CO2 be reliably used in neonates during transport and also how to interpret the measured values.

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