• Emerg Med J · Sep 2007

    Review

    Capnometry in the prehospital setting: are we using its potential?

    • Dejan Kupnik and Pavel Skok.
    • Center for Emergency Medicine, Prehospital Unit, Ulica talcev 9, Maribor, Slovenia. dejan.kupnik@triera.net
    • Emerg Med J. 2007 Sep 1; 24 (9): 614-7.

    AbstractCapnometry 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.

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