End Tidal CO2 Monitoring and Capnography
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9.13 END TIDAL CO2 MONITORING CAPNOGRAPHY
|Intubated Applications (Mainstream)||Non-Intubated Applications (Sidestream)|
|Verification of ETT or King Tube placement||Bronchospasm: asthma, COPD and anaphylaxis|
|ETT or King Tube surveillance during transport||
Hypoventilation: drug overdose, stroke,
|CPR: compression efficacy, early sign of ROSC,
|Hyperventilation: DKA, metabolic acidosis, |
sepsis, CNS Hyperventilation
|Optimize ventilation of patients|
Objective data to terminate resuscitation
- Select EtCO2 setting on monitor if not set to default
- Assure nasal cannula or sensor to E.T. tube or King Tube is correctly placed
- Check for wave forms
- Record wave form
- Capnography device should remain in place for continuous monitoring, with frequent checks to ascertain that the tube does not migrate.
- At hospital, record waveform again
- Upon confirmation of successful endotracheal intubation or King Tube placement (positive wave form), print a strip and document the initial reading on the abbreviated report.
- Document any airway or pharmacologic interventions based on capnography readings.
- Upon arrival to the emergency department and after transferring the patient to the hospital’s bed/gurney; obtain a second strip demonstrating a continued positive wave form.
- Attach both strips to the completed run report. A code summary should accompany all cardiac arrest reports.