The Significance of Transcutaneous Continuous Overnight CO2Monitoring in Determining Initial Mechanical Ventilator Application for Patients with Neuromuscular Disease

• DOI: 10.5535/arm.2012.36.1.126
• Publication Date: 2012-03-12T09:50:55Z
• Authors: Soon Kyu Lee; Dong-hyun Kim; Won Ah Choi; Yu Hui Won; Sun Mi Kim; Seong-Woong Kang
• Keywords: Arterial blood; Continuous monitoring; Blood gas analysis

Objective To reveal the significance of continuous transcutaneous carbon dioxide (CO2) level monitoring through reviewing cases which showed a discrepancy in CO2 levels between arterial blood gas analysis (ABGA) and monitoring. Method Medical record review was conducted retrospectively patients with neuromuscular diseases who had started home mechanical ventilation June 2008 May 2010. The 89 underwent ABGA at 1st hospital day, changes to their were continuously monitored overnight device. number initially appeared show normal PaCO2 ABGA, yet displayed hypercapnea monitoring, counted. Results 36 (40.45%) presented inconsistent results mean using 37.23±5.11 mmHg. However, maximum from device 52.25±6.87 mmHg 46.16±6.08 mmHg, respectively. From total period (357.28±150.12 minutes), retention over 45 detected 198.97 minutes (55.69%). Conclusion Although only reflects ventilatory status puncturing moment, are commonly used monitor most clinical settings. In order decide starting point patients, should be considered assess latent retention. Keywords: Respiratory failure, Blood analysis, Transcutaneous Mechanical