The Resus Room

End Tidal CO2; Roadside to Resus

25 snips
Mar 14, 2024
Explore the importance of End Tidal CO2 monitoring in emergency care, covering its role in ventilation, airway management, and resuscitation. Learn about the devices used for CO2 assessment and the nuances of capnometry versus capnography. Discover how ETCO2 aids in verifying tube placement and monitoring CPR effectiveness, with insights on waveform analysis and respiratory monitoring using Ntidal CO2.
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INSIGHT

What ETCO2 Actually Reflects

  • End tidal CO2 (ETCO2) measures CO2 at end-exhalation and reflects alveolar CO2 non-invasively.
  • ETCO2 reflects ventilation but is also strongly affected by cardiac output and the sampling circuit.
ADVICE

Choose Capnography For Full Detail

  • Use quantitative capnometry for numbers and capnography for waveform morphology to gain diagnostic detail.
  • Prefer capnography when you need to interpret trends, diagnose obstruction, or assess treatment response.
ADVICE

Protect And Configure The Sampling Circuit

  • Protect CO2 sensors from fluids and ensure proper circuit order: airway → catheter mount → HME → ETCO2 sensor.
  • Check for contamination or misplaced filters if CO2 readings are unexpectedly absent or low.
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