title: Capnometry in the prehospital setting: are we using its potential?
abstract: Capnometry is a non-invasive monitoring technique which allows fast and reliable insight into ventilation, circulation, and metabolism. In the prehospital setting it is mainly used to confirm correct tracheal tube placement. In addition it is a useful indicator of efficient ongoing cardiopulmonary resuscitation due to its correlation with cardiac output, and successful resuscitation. It helps to confirm the diagnosis of pulmonary thromboembolism and to sustain adequate ventilation in mechanically ventilated patients. In patients with haemorrhage, capnometry provides improved continuous haemodynamic monitoring, insight into adequacy of tissue perfusion, optimisation within current hypotensive fluid resuscitation strategy, and prevention of shock progression through controlled fluid administration.
authors: Center for Emergency Medicine, Prehospital Unit, Ulica talcev 9, Maribor, Slovenia. dejan.kupnik@triera.net
authors: Dejan
authors: D
authors: Kupnik
authors: Pavel
authors: P
authors: Skok
mesh_terms: D019296:Capnography / Q000379:methods*; D016887:Cardiopulmonary Resuscitation; D003422:Critical Care; D004632:Emergency Medical Services; D006470:Hemorrhage / Q000503:physiopathology; D006801:Humans; D007442:Intubation, Intratracheal; D008991:Monitoring, Physiologic / Q000379:methods*; D011655:Pulmonary Embolism / Q000175:diagnosis; D012121:Respiration, Artificial; D012769:Shock / Q000517:prevention & control
references: J Am Coll Surg. 1995 Jan;180(1):49-56
references: 8000655
references: Anesth Analg. 1994 Nov;79(5):829-33
references: 7978395
references: Emerg Med Serv. 2004 Aug;33(8):75-80; quiz 115
references: 15368978
references: N Engl J Med. 1997 Jul 31;337(5):301-6
references: 9233867
references: Crit Care. 2003 Dec;7(6):R139-44
references: 14624688
references: Curr Opin Crit Care. 2006 Jun;12(3):272-7
references: 16672789
references: Circulation. 1991 Nov;84(5):2101-7
references: 1657450
references: Shock. 2001 Jan;15(1):16-23
references: 11198352
references: Shock. 2004 Mar;21(3):276-80
references: 14770042
references: Crit Care Med. 2000 Jul;28(7):2415-9
references: 10921572
references: N Engl J Med. 1988 Mar 10;318(10):607-11
references: 3125432
references: Curr Opin Anaesthesiol. 2002 Apr;15(2):173-8
references: 17019198
references: J Clin Monit. 1990 Apr;6(2):93-8
references: 2112592
references: Anaesth Intensive Care. 2000 Apr;28(2):151-4
references: 10788965
references: Resuscitation. 2002 Apr;53(1):83-91
references: 11947984
references: Shock. 1997 Dec;8(6):427-31
references: 9421856
references: Resuscitation. 1997 Oct;35(2):145-8
references: 9316198
references: Crit Care Med. 1997 Mar;25(3):533-7
references: 9118673
references: Resuscitation. 2003 Jul;58(1):89-96
references: 12867314
references: Acad Emerg Med. 1998 Jun;5(6):628-36
references: 9660292
references: Intensive Care Med. 2002 Jun;28(6):701-4
references: 12107674
references: Tohoku J Exp Med. 1997 Dec;183(4):263-71
references: 9549826
references: Shock. 2001 Nov;16(5):383-8
references: 11699078
references: Ann Emerg Med. 1989 Dec;18(12):1287-90
references: 2511789
references: J Trauma. 2002 Oct;53(4):738-43
references: 12394876
references: Intensive Care Med. 2000 Nov;26(11):1619-23
references: 11193267
references: Can J Anaesth. 1996 Mar;43(3):243-5
references: 8829863
references: Anesth Analg. 1991 Dec;73(6):808-14
references: 1952183
references: Curr Opin Crit Care. 2001 Dec;7(6):422-30
references: 11805545
references: Anesth Prog. 1997 Winter;44(1):23-6
references: 9481977
references: CMAJ. 1992 Mar 1;146(5):703-12
references: 1562943
references: Crit Care. 2000;4(4):207-15
references: 11094503
references: J Trauma. 2004 Jul;57(1):65-8
references: 15284550
references: Crit Care Med. 1989 Mar;17(3):237-40
references: 2493355
references: J Appl Physiol (1985). 1995 Apr;78(4):1579-84
references: 7615473
references: Resuscitation. 1994 Jan;27(1):1-8
references: 8191021
references: Crit Care. 2003 Dec;7(6):411-2
references: 14624676
references: Am J Emerg Med. 1996 Jul;14(4):349-50
references: 8768152
references: Resuscitation. 1998 Oct-Nov;39(1-2):67-74
references: 9918450
references: J Clin Monit. 1996 Mar;12(2):155-9
references: 8823636