Author/Editor		Grmec, Štefek; Kupnik, Dejan
Title		Prognostični in diagnostični pomen kapnometrije v predbolnišnični enoti za nujno medicinsko pomoč
Translated title		Prognostic and diagnostic value of capnometry in prehospital setting
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 10. mednarodni simpozij o urgentni medicini; 2003 jun 11-14; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2001
Volume		str. 91-6
Language		slo
Abstract		This paper presents two studies: 1. Comparison of three different methods to confirm tracheal placement of endotracheal tube in emergency intubation. Capnography is the most reliable method to confirm endotracheal tube placement in emergency conditions in the prehospital setting. Capnometry is highly accurate in confirming tube placement for patients who are not in cardiac arrest. In cardiac arrest patients the petC02 value greater than 0,67 kPa at the seventh breath appropriately confirms correct tube placement. Auscultation is less reliable in confirming tube placement in non-arrest patients. Our results strongly suggest the type of material with which the prehospital team must be equiped, i.e capnography. Nevertheless we also suggest that tracheal tube placement should be routinely confirmed using multiple techniques. Does the end-tidal carbon dioxide partial pressure (perCOz) have prognostic value during out-ofhospital cardiac arrest? An important observation from this study was that none of the patients with an average, initial and final p`cCOz level of less than 1,33 kPa were resuscitated or survived. Our findings suggest that initial, average and final pecCOz can be used as a valuable and prognostic guide during the cardiopulmonary resuscitation (CPR). PecCOz monitoring is correlated with ROSC and survival of cardiac arrest. The high sensitivity in predicting ROSC and survival of the initial, average and final pecCOz with an acceptable specificity was confirmed in this study. The MEESc is equal to APACHE II in predicting the hospital death after CPR.
Descriptors		EMERGENCY MEDICAL SERVICES INTUBATION, INTRATRACHEAL CAPNOGRAPHY RESUSCITATION HEART ARREST APACHE PROGNOSIS