Article Sidebar

PDF (Tiếng Việt)
Published: 2023-08-22
Abstract Views: 106
Views PDF (Tiếng Việt): 180
DOI: https://doi.org/10.52852/tcncyh.v168i7.1769
Issue
Vol. 168 No. 7 (2023)
Section
Các bài báo
How to Cite
Thủy, Đặng T. T. ., & Nga, N. T. Q. . (2023). 19. Results of TcCO2 monitoring in respiratory distress neonates with mechanical ventilation in the Neonatal Center, Vietnam National Children’s Hospital. Journal of Medical Research, 168(7), 171-178. https://doi.org/10.52852/tcncyh.v168i7.1769

19. Results of TcCO2 monitoring in respiratory distress neonates with mechanical ventilation in the Neonatal Center, Vietnam National Children’s Hospital

Dang Thi Thu Thuy, Nguyen Thi Quynh Nga

Main Article Content

Abstract

The aim of this study was to evaluate the correlation and agreement between arterial partial pressure of carbon dioxide (PaCO2) and transcutaneous carbon dioxide (TcCO2) in respiratory distress neonates with mechanical ventilation. This study included a total of 26 respiratory distress neonates requiring ventilation support in the Neonatal Center, Vietnam National Children’s Hospital (211 arterial blood gas samples). The results showed that PaCO2 and TcCO2 had a strong correlation (r = 0.89) and an agreement with the limits of agreement were -12.3 to 6.4mmHg and the mean bias was -2.9mmHg (Bland – Atman Plot). In conclusion, TcCO2 can be used to assess blood CO2 levels in respiratory failure neonates.

Article Details

Keywords

Transcutaneous carbon dioxide (TcCO2), neonates, preterms

References

1. Okumura A, Hayakawa F, Kato T, et al. Hypocarbia in preterm infants with periventricular leukomalacia: The relation between hypocarbia and mechanical ventilation. Pediatrics. 2001;107(3):469-75.
2. Hochwald O, Borenstein-Levin L, Dinur G, et al. Continuous Noninvasive Carbon Dioxide Monitoring in Neonates: From Theory to Standard of Care. Pediatrics. 2019;144:1.
3. Sankaran D, Zeinali L, Iqbal S, et al. Non-invasive carbon dioxide monitoring in neonates: methods, benefits, and pitfalls. J Perinatol.2021;41:2580-2589.
4. Sosa I, Cardetti M, Favareto V, et al. Capnography in newborns under mechanical ventilation and its relationship with the measurement of CO2 in blood samples. An Pediatr (Engl Ed). 2022;97(4):255-261.
5. Molloy EJ, Deakins K. Are carbon dioxide detectors useful in neonates? Arch Dis Child Fetal Neonatal Ed. 2006;91(4):F295-8.
6. Kaiser JR, Gauss CH, Pont MM, et al. Hypercapnia during the first 3 days of life is associated with severe intraventricular hemorrhage in very low birth weight infants. J Perinatol. 2006;26:279-285.
7. McKee LA, Fabres J, Howard G, et al. PaCO2 and neurodevelopment in extremely low birth weight infants. J Pediatr. 2009;155:217-221.
8. Erickson SJ, Grauaug A, Gurrin L, et al. Hypocarbia in the ventilated preterm infant and its effect on intraventricular haemorrhage and bronchopulmonary dysplasia. J Paediatr Child Health. 2002;38:560-562.
9. Williams E, Dassios T, Greenough A. Carbon dioxide monitoring in the newborn infant. Pediatric Pulmonology. 2021;56:3148-3156.
10. Janaillac M, Labarinas S, Pfister RE, et al. Accuracy of transcutaneous carbon dioxide measurement in premature infants. Crit Care Res Pract. 2016;2016:8041967.
11. Hand IL, Shepard EK, Krauss AN, et al. Discrepancies between transcutaneous and end-tidal carbon dioxide monitoring in the critically ill neonate with respiratory distress syndrome. Crit Care Med. 1989;17:556-9.
12. Geven WB, Nagler E, de Boo T, et al. Combined transcutaneous oxygen, carbon dioxide tensions and end-expired CO2 levels in severely ill newborns. Adv Exp Med Biol. 1987;220:115-20.
13. Mukhopadhyay S, Maurer R, Puopolo KM. Neonatal transcutaneous carbon dioxide monitoring–effect on clinical management and outcomes. Respir Care. 2016;61(1):90-97.
14. Eberhard P. The design, use, and results of transcutaneous carbon dioxide analysis: current and future directions. Anesth Analg. 2007;105(6):48-52.