End-tidal carbon dioxide concentration monitoring in obstructive sleep apnea patients.
OBJECTIVE
The objective of this study was to investigate the end-tidal carbon dioxide concentration (ETco(2)) monitoring in obstructive sleep apnea (OSA) patients during sleep and to explore whether the ETco(2) value may explain a significant portion of the relationship between ETco(2) value and apnea/hypopnea index (AHI) and nocturnal oxygenation indices.


METHODS
Thirty-eight consecutive patients underwent overnight polysomnography and were synchronously monitored for ETco(2) using an microstream capnometer. Mean and maximum values during wake time and different sleep stages were recorded. We grouped 38 OSA patients into 2 subgroups on the basis of their difference of mean total sleep time and wake time ETco(2) [(T - W) ETco(2)]; one group, 20 patients with (T - W) ETco(2) less than 0, and the other group,18 patients with (T - W) ETco(2) greater than 0.


RESULTS
Group with (T - W) ETco(2) less than 0 patients exhibited higher AHI (mean ± SD, 68.58 ± 22.78 vs. 27.61 ± 19.44 events/h) and lower nocturnal oxygenation indices (minimum Sao(2), 67.85 ± 10.08 vs. 82.61% ± 6.07%; mean Sao(2), 91.29 ± 3.31 vs. 95.15% ± 1.88%) compared with the other group.


CONCLUSIONS
In summary, the study provides preliminary data showing that ETco(2) potentially can be used in continuous monitoring of OSA patients. And, (T - W) ETco(2) can indicate the severity of OSA.
Weihu
Chen
C
Department of Otorhinolaryngology-Head and Neck Surgery, Beijing, China.
Jingying
Ye
Y
Demin
Han
H
Yuhuan
Zhang
Z
Jiangyong
Wang
W
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002245:Carbon Dioxide / Q000032:analysis*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods*; D010100:Oxygen / Q000378:metabolism; D017286:Polysomnography / Q000379:methods; D011379:Prognosis; D011659:Pulmonary Gas Exchange; D015656:Respiratory Mechanics; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D012737:Sex Factors; D020181:Sleep Apnea, Obstructive / Q000175:diagnosis* / Q000503:physiopathology; D013990:Tidal Volume; D055815:Young Adult
D002245:Carbon Dioxide; D010100:Oxygen