Capnography for the nonintubated patient in the emergency setting

Craig A. Manifold, Neil Davids, Lance C. Villers, David A. Wampler

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Background Multiple studies illustrate the benefits of waveform capnography in the nonintubated patient. This type of monitoring is routinely used by anesthesia providers to recognize ventilation issues. Its role in the administration of deep sedation is well defined. Prehospital providers embrace the ease and benefit of monitoring capnography. Currently, few community-based emergency physicians utilize capnography with the nonintubated patient. Objective This article will identify clinical areas where monitoring end-tidal carbon dioxide is beneficial to the emergency provider and patient. Discussion Capnography provides real-time data to aid in the diagnosis and patient monitoring for patient states beyond procedural sedation and bronchospasm. Capnographic changes provide valuable information in such processes as diabetic ketoacidosis, seizures, pulmonary embolism, and malignant hyperthermia. Conclusions Capnography is a quick, low-cost method of enhancing patient safety with the potential to improve the clinician's diagnostic power.

Original languageEnglish (US)
Pages (from-to)626-632
Number of pages7
JournalJournal of Emergency Medicine
Volume45
Issue number4
DOIs
StatePublished - Oct 1 2013

Keywords

  • airway
  • capnography
  • patient safety

ASJC Scopus subject areas

  • Emergency Medicine

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