지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 126 - 132 (7page)
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초록· 키워드
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Objective To reveal the signifi cance of continuous transcutaneous carbon dioxide (CO2) level monitoring through reviewing cases which showed a discrepancy in CO2 levels between arterial blood gas analysis (ABGA) and continuous transcutaneous blood gas monitoring.
Method Medical record review was conducted retrospectively of patients with neuromuscular diseases who had started home mechanical ventilation between June 2008 and May 2010. Th e 89 patients underwent ABGA at the 1st hospital day, and changes to their CO2 level were continuously monitored overnight with a transcutaneous blood gas analysis device. The number of patients who initially appeared to show normal PaCO2 through ABGA, yet displayed hypercapnea through overnight continuous monitoring, was counted.
Results 36 patients (40.45%) presented inconsistent CO2 level results between ABGA and continuous overnight monitoring. Th e mean CO2 level of the 36 patients using ABGA was 37.23±5.11 mmHg. However, the maximum and mean CO2 levels from the continuous monitoring device were 52.25±6.87 mmHg and 46.16±6.08 mmHg,respectively. From the total monitoring period (357.28±150.12 minutes), CO2 retention over 45 mmHg was detected in 198.97 minutes (55.69%).
Conclusion Although ABGA only reflects ventilatory status at the puncturing moment, ABGA results are commonly used to monitor ventilatory status in most clinical settings. In order to decide the starting point of home mechanical ventilation in neuromuscular patients, continuous overnight monitoring should be considered to assess latent CO2 retention.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Akai L / 2010 / Characteristics of respiratory pattern and anxiety in rhythmic gymnasts / Adv Exp Med Biol 669 : 329 ~ 332
Bach J / 1990 / Noninvasive options for ventilatory support of the traumatic high level quadriplegic patient / Chest 98 : 613 ~ 619
Bolliger D / 2007 / The accuracy of non-invasive carbon dioxide monitoring: a clinical evaluation of two transcutaneous systems / Anaesthesia 62 : 394 ~ 399
Brogan TV / 2000 / Pulmonary NO synthase inhibition and inspired CO2: effects on V’/Q’ and pulmonary blood fl ow distribution / Eur Respir J 16 : 288 ~ 295
Bussotti M / 2008 / End-tidal pressure of CO2 and exercise performance in healthy subjects / Eur J Appl Physiol 103 : 727 ~ 732
Bach J / 1990 / Noninvasive options for ventilatory support of the traumatic high level quadriplegic patient / Chest 98 : 613 ~ 619
Bolliger D / 2007 / The accuracy of non-invasive carbon dioxide monitoring: a clinical evaluation of two transcutaneous systems / Anaesthesia 62 : 394 ~ 399
Brogan TV / 2000 / Pulmonary NO synthase inhibition and inspired CO2: effects on V’/Q’ and pulmonary blood fl ow distribution / Eur Respir J 16 : 288 ~ 295
Bussotti M / 2008 / End-tidal pressure of CO2 and exercise performance in healthy subjects / Eur J Appl Physiol 103 : 727 ~ 732
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