Capnography as a tool to detect metabolic changes in patients cared for in the emergency setting

[Abstract] Objective: to evaluate the usefulness of capnography for the detection of metabolic changes in spontaneous breathing patients, in the emergency and intensive care settings. Methods: in-depth and structured bibliographical search in the databases EBSCOhost, Virtual Health Library, PubMed,...

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Detalles Bibliográficos
Autores: Cereceda Sánchez, Francisco José, Molina-Mula, Jesus
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/16984
Acceso en línea:https://hdl.handle.net/20.500.13003/16984
Access Level:acceso abierto
Palabra clave:Equipment Design
Capnography
Emergency Treatment
Humans
Metabolic Diseases
Enfermedades Metabólicas
Humanos
Tratamiento de Urgencia
Capnografía
Diseño de Equipo
Acidosis
Alkalosis
Carbon Dioxide
Spontaneous Breathing
Descripción
Sumario:[Abstract] Objective: to evaluate the usefulness of capnography for the detection of metabolic changes in spontaneous breathing patients, in the emergency and intensive care settings. Methods: in-depth and structured bibliographical search in the databases EBSCOhost, Virtual Health Library, PubMed, Cochrane Library, among others, identifying studies that assessed the relationship between capnography values and the variables involved in blood acid-base balance. Results: 19 studies were found, two were reviews and 17 were observational studies. In nine studies, capnography values were correlated with carbon dioxide (CO2), eight with bicarbonate (HCO3), three with lactate, and four with blood pH. Conclusions: most studies have found a good correlation between capnography values and blood biomarkers, suggesting the usefulness of this parameter to detect patients at risk of severe metabolic change, in a fast, economical and accurate way.