Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Neonates: A Scoping Review
Monitoring CO 2 levels in intubated neonates is highly relevant in the face of complications associated with altered CO 2 levels. Thus, this review aims to present the scientific evidence in the literature regarding the correlation between arterial carbon dioxide measured by non-invasive methods in...
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doaj-770cafe387b14138b5fb62d8caf3e70f2021-05-17T21:34:01ZengSAGE PublishingGlobal Pediatric Health2333-794X2021-05-01810.1177/2333794X211016790Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Neonates: A Scoping ReviewIngra Pereira Monti Martins0Adriane Muller Nakato PhD1Paula Karina Hembecker PhD2Sérgio Ossamu Ioshii MD, PhD3Percy Nohama PhD4Medical student, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Paraná, BrazilGraduate Program on Health Technology, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Paraná, BrazilGraduate Program on Health Technology, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Paraná, BrazilGraduate Program on Health Technology, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, Paraná, BrazilGraduate Program on Biomedical Engineering, Universidade Tecnológica Federal do Paraná, Curitiba, Paraná, BrazilMonitoring CO 2 levels in intubated neonates is highly relevant in the face of complications associated with altered CO 2 levels. Thus, this review aims to present the scientific evidence in the literature regarding the correlation between arterial carbon dioxide measured by non-invasive methods in newborns submitted to invasive mechanical ventilation. The search was carried out from January 2020 to January 2021, in the Scopus, Medline, The Cochrane Library, Web of Science, CINAHL and Embase databases. Also, a manual search of the references of included studies was performed. The main descriptors used were: “capnography,” “premature infant,” “blood gas analysis,” and “mechanical ventilation.” As a result, 221 articles were identified, and 18 were included in this review. A total of 789 newborns were evaluated, with gestational age between 22.8 and 42.2 weeks and birth weight between 332 and 4790 g. Capnometry was the most widely used non-invasive method. In general, the correlation and agreement between the methods evaluated in the studies were strong/high. The birth weight did not influence the results. The gestational age of fewer than 37 weeks implied, in its majority, a moderate correlation and agreement. Therefore, we can conclude that there was a predominance of a strong correlation between arterial blood gases and non-invasive methods, although there are variations found in the literature. Even so, the results were promising and may provide valuable data for future studies, which are necessary to consolidate non-invasive methods as a reliable and viable alternative to arterial blood gasometry.https://doi.org/10.1177/2333794X211016790 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ingra Pereira Monti Martins Adriane Muller Nakato PhD Paula Karina Hembecker PhD Sérgio Ossamu Ioshii MD, PhD Percy Nohama PhD |
spellingShingle |
Ingra Pereira Monti Martins Adriane Muller Nakato PhD Paula Karina Hembecker PhD Sérgio Ossamu Ioshii MD, PhD Percy Nohama PhD Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Neonates: A Scoping Review Global Pediatric Health |
author_facet |
Ingra Pereira Monti Martins Adriane Muller Nakato PhD Paula Karina Hembecker PhD Sérgio Ossamu Ioshii MD, PhD Percy Nohama PhD |
author_sort |
Ingra Pereira Monti Martins |
title |
Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Neonates: A Scoping Review |
title_short |
Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Neonates: A Scoping Review |
title_full |
Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Neonates: A Scoping Review |
title_fullStr |
Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Neonates: A Scoping Review |
title_full_unstemmed |
Correlation of End-Tidal Carbon Dioxide with Arterial Carbon Dioxide in Mechanically Ventilated Neonates: A Scoping Review |
title_sort |
correlation of end-tidal carbon dioxide with arterial carbon dioxide in mechanically ventilated neonates: a scoping review |
publisher |
SAGE Publishing |
series |
Global Pediatric Health |
issn |
2333-794X |
publishDate |
2021-05-01 |
description |
Monitoring CO 2 levels in intubated neonates is highly relevant in the face of complications associated with altered CO 2 levels. Thus, this review aims to present the scientific evidence in the literature regarding the correlation between arterial carbon dioxide measured by non-invasive methods in newborns submitted to invasive mechanical ventilation. The search was carried out from January 2020 to January 2021, in the Scopus, Medline, The Cochrane Library, Web of Science, CINAHL and Embase databases. Also, a manual search of the references of included studies was performed. The main descriptors used were: “capnography,” “premature infant,” “blood gas analysis,” and “mechanical ventilation.” As a result, 221 articles were identified, and 18 were included in this review. A total of 789 newborns were evaluated, with gestational age between 22.8 and 42.2 weeks and birth weight between 332 and 4790 g. Capnometry was the most widely used non-invasive method. In general, the correlation and agreement between the methods evaluated in the studies were strong/high. The birth weight did not influence the results. The gestational age of fewer than 37 weeks implied, in its majority, a moderate correlation and agreement. Therefore, we can conclude that there was a predominance of a strong correlation between arterial blood gases and non-invasive methods, although there are variations found in the literature. Even so, the results were promising and may provide valuable data for future studies, which are necessary to consolidate non-invasive methods as a reliable and viable alternative to arterial blood gasometry. |
url |
https://doi.org/10.1177/2333794X211016790 |
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