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KRİTİK HASTA BAKIMINDA KAPNOGRAFİNİN ROLÜ

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 1998

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Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In this article we reviewed the role of end-tidal CO2 monitoring the critical care setting as a reliable predictor of tracheal intubation and outcome of patients in emergency setting. End-tidal CO2 concentration level is reported to serve as a discriminating factor between survivors and non-survivors in case of cardiopulmonary collapse. Patients with certain levels of end-tidal CO2 concentration had significantly lower rates of survival and return of spontaneous circulation. Published data also suggest that initial ETC2 concentration level can be an important predictor of successful endotracheal intubation in life-saving procedures. More prevalent utilization of capnograph will be a useful adjunct in both detecting endotracheal intubation and also guiding bedside monitoring of cardiopulmonary resuscitation.
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Abstract (Original Language): 
Bu çalışmada end-tidal karbon dioksit monitörizasyonunun kritik bakım koşullarındaki yerini, kullanımını ve acil koşullarda trakeal entübasyonu ve klinik gidişi öngörmedeki güvenirliliği gözden geçirilmiştir. Kardiyopulmoner kollaps koşullannda end-tidal karbon dioksit konsantrasyonu düzeyinin sağkalan ve kaybedilen olguların ayırt edilmesinde rol oynayabileceğini gösteren literatür bilgileri bulunmaktadır. Belirli end-tital karbondioksit konsantrasyonu düzeylerinin sağkalımı ve spontan dolaşımın geri dönüşünü öngörebileceği bildirilmiştir. Bununla birlikte birçok yayında da endotrakeal entübasyondan sonra ölçülen ilk end-tidal karbondioksit düzeyinin acil koşullarda doğru ve yanlış entübasyonu birbirinden ayırabildiği gösterilmiştir. Kapnografinin kritik bakım koşullarında daha yaygın kullanımı, endotrakeal entübasyonunun doğrulanmasında ve kardiyopulmoner resusitasyonun yatakbaşı izleminde yardımcı olacaktır.
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  • 4
207-213
  • Turkish

REFERENCES

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