Clinical use of volumetric capnography in mechanically ventilated patients

J Clin Monit Comput. 2020 Feb;34(1):7-16. doi: 10.1007/s10877-019-00325-9. Epub 2019 May 31.

Abstract

Capnography is a first line monitoring system in mechanically ventilated patients. Volumetric capnography supports noninvasive and breath-by-breath information at the bedside using mainstream CO2 and flow sensors placed at the airways opening. This volume-based capnography provides information of important body functions related to the kinetics of carbon dioxide. Volumetric capnography goes one step forward standard respiratory mechanics and provides a new dimension for monitoring of mechanical ventilation. The article discusses the role of volumetric capnography for the clinical monitoring of mechanical ventilation.

Keywords: Carbon dioxide; Dead space; Gas exchange; PEEP; Pulmonary blood flow; Volumetric capnography.

Publication types

  • Review

MeSH terms

  • Animals
  • Blood Gas Analysis
  • Capnography / methods*
  • Carbon Dioxide / chemistry
  • Hemodynamics
  • Humans
  • Kinetics
  • Lung
  • Monitoring, Physiologic / methods
  • Pulmonary Gas Exchange
  • Respiration, Artificial / instrumentation*
  • Respiration, Artificial / methods*
  • Respiratory Dead Space
  • Tidal Volume
  • Ventilation-Perfusion Ratio

Substances

  • Carbon Dioxide