Analisi del corretto utilizzo del monitoraggio EtCO2 nel percorso emergenza-urgenza ed in terapia intensiva

Nicola Seganti, Guglielmo Imbriaco, Alessandro Monesi, Fiorella Cordenons, Stefano Sebastiani, Giovanni Gordini

Abstract

Premessa: in Area Critica la rilevazione dell’EtCO2(CO2 fine espirio- End Tidal CO2) è considerata un Gold Standard, in relazione alle raccomandazioni internazionali AARC - Clinical Practice Guideline del 2011. Vi sono almeno tre momenti principali in cui è raccomandata la capnometria nel paziente ventilato meccanicamente:1. Verifica del corretto posizionamento di presidi per la pervietà delle vie aeree.2. Analisi della condizione di circolazione polmonare e ventilatoria.3. Ottimizzazione della ventilazione meccanica.

Riferimenti bibliografici

Davis DP, Fisher r, Buono C, BrainarD C, smith s, oChs G et al. Predictors of intubation success and therapeutic value of paramedic airway management in a large, urban EMS System. Prehospital Emergency Care, 2006;10,3: 356-362

menarini m, Petrini F, BiGi e, Donato P, Di FiliPPo a, DesiDerio GG et al. Linee guida per la gestione preospedaliera delle vie aeree. Documento SIAARTI, 2010

Chau JP, lo sh, thomPson Dr, FernanDez r, GriFFiths r. Use of end-tidal carbon dioxide detection to determine correct placement of nasogastric tube: a meta-analysis. Int J. Nurs. Stud. 2011;48,4:513-521

lumini e. Capnometria e Capnogra a: cavalcare l’onda... per un monitoraggio più accurato. XXXI Congresso Nazionale ANIARTI 2012

BamBi s, luCChini a, GaFForelli a, valseCChi n. Il monitoraggio respiratorio di base. In Guida al monitoraggio in Area Critica a cura di Giusti GD,

Benetton M. Maggioli Editore 2014

Walsh BK, CrotWell Dn, restrePo rD. Capnography/Capnometry during mechanical ventilation - AARC Clinical Practice Guideline. Respiratory Care April 1, 2011 vol. 56 no. 4 503-509

Kallet rh. Capnography and Respiratory care in the 21st Century. Respiratory Care 2008;53,7: 860-1

naGler J, Krauss B. Capnography: a valuable tool for airway management. Emerg. Med. Clin. N Am 2008;26:881-897

DeitCh K, miner J, ChuDnoWsKy Cr, DominiCi P, latta D. Does End Tidal CO2 monitoring during emergency department procedural sedation and analgesia with propofol decrease the incidence of hypoxic events? A randomized, controlled trial. Annals of Emergency Medicine 2010;55,3:258-264

nolan JP, soar J, ziDeman Da, et al. ERC Guidelines Writing Group. European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. Resuscitation. 2010 Oct;81(10):1219-76.

GeorGiou aP, GoulDson s, amPhlett am. The use of capnography and the availability of airway equipment of Intensive Care Units in the UK and the Republic of Ireland - Journal compilation. The Association of Anaesthetists of Great Britain and Ireland 2010;65: 462-467

ameriCan heart assoCiation. Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science. Circulation 2010;122,18:suppl 3

hartmann sm, Farris rW, Di Gennaro Jl, roBerts Js. Systematic review and meta-analysis of end tidal carbon dioxide values associated with return of spontaneous circulation during cardiopulmonary resuscitation. J. Intensive Care Med. 2014

ahrens t, sona C. Capnography application in acute and critical care. AACN Clin Issues. 2003 May;14(2):123-32.

maniFolD Cs, DaviDs n, villers lC, WamPler Da. Capnography for the non-intubated patient in the Emergency Setting in the EMS Environment.

Journal of Emergency Medicine 2013; 45,4:626-632

Kim hy, Kim Gs, shin yh, Cha sr. The usefulness of end-tidal carbon dioxide monitoring during apnea test in brain-dead patients. Korean J. Anesthesiol 2014;67,3:186-192

roWan C, ahmeD s, heDlunD t, sPeiCher r. Implementation of continuous capnography in associated with decrease utilization of blood gases. J. Clin. Med Res. 2015;7,2:71-75

marino Pl. The ICU Book, Terapia Intensiva, principi fondamentali. Elsevier 2007

Green sm, PershaD J. Should Capnographic Monitoring be standard practice du

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