Transcutaneous carbon dioxide pressure for monitoring patients with severe croup.

Détails

ID Serval
serval:BIB_ED623E77CEAF
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Transcutaneous carbon dioxide pressure for monitoring patients with severe croup.
Périodique
Journal of Pediatrics
Auteur(s)
Fanconi S., Burger R., Maurer H., Uehlinger J., Ghelfi D., Mühlemann C.
ISSN
0022-3476
Statut éditorial
Publié
Date de publication
1990
Peer-reviewed
Oui
Volume
117
Numéro
5
Pages
701-705
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Résumé
In a prospective investigation of 17 children with severe croup, we analyzed the effect of epinephrine inhalations and mild sedation with chloral hydrate on transcutaneous carbon dioxide pressure (tcPCO2), pulse oximetry measurements, and croup scores. There was a highly significant reduction (p less than 0.001) in the tcPCO2 values and croup scores after inhalation of epinephrine. The changes in the tcPCO2 values correlated with the clinical findings. Mild sedation also significantly improved the croup scores but failed to influence the tcPCO2 values. There was not statistically significant difference in pulse oximetry saturation, fraction of administered oxygen, heart rate, or respiratory rate before and after inhalation of epinephrine or chloral hydrate administration. Monitoring tcPCO2 appears to be a reliable and objective tool for managing patients with upper airway obstruction, whereas croup scores may be misleading.
Mots-clé
Blood Gas Monitoring, Transcutaneous, Carbon Dioxide, Child, Preschool, Chloral Hydrate, Croup, Epinephrine, Heart Rate, Humans, Infant, Oximetry, Pressure, Prospective Studies, Respiration, Respiratory Therapy
Pubmed
Web of science
Création de la notice
25/01/2008 10:07
Dernière modification de la notice
20/08/2019 16:15
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