The Evaluation of End Tidal Carbon Dioxide Values in Intubated Patients with COVID-19.
Acta Biomed
; 93(1): e2022032, 2022 03 14.
Article
in English
| MEDLINE | ID: covidwho-1754148
ABSTRACT
BACKGROUND:
The aim of this study is to establish the value of PETCO2 in COVID-19 patients intubated in emergency department, and its effects on mortality.Objectives:
Between May 15, 2020 and January 15, 2021, The patients aged ≥18 years and diagnosed COVID-19, scheduled for urgent intubation in the emergency department were included.METHOD:
Single-center, prospective and observational study. Age, gender, vital signs, laboratory findings are recorded. Immediately after intubation as measured by the capnography, the initial PETCO2_1 and at post-ventilation 15 min, PETCO2_2 and first, second arterial blood gas analysis are recorded.RESULTS:
The mean age of the 48 patients was 74 years. The PETCO2_1 and PETCO2_2 measurements were statistically significantly different between the patients who survived and those who died (p=0.014, p=0.015). The patients with a high first PETCO2_1 value and a decrease to the normal level survived, but those with a low PETCO2_1 value that could not increase to a normal value died (p=0.038, p=0.031). Increased levels of SpO2, PETCO2_1, PETCO2_2 and PaCO2_2 decreased the risk of mortality, while an increased level of PaO2_2 increased the risk of mortality.CONCLUSION:
Capnography is non-invasive and provides continuous measurement. Assessment of changes in PETCO2 value would contribute to patient survival.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Carbon Dioxide
/
COVID-19
Type of study:
Cohort study
/
Experimental Studies
/
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Aged
/
Humans
Language:
English
Journal:
Acta Biomed
Journal subject:
Medicine
Year:
2022
Document Type:
Article
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