01 capnography the new standard of care

CAPNOGRAPHY- The New Standard of Care James Pointer, MD, FACEP Medical Director Alameda County EMS

Capnography & Pulse Oximetry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indications for Use - End-Tidal CO 2 Monitoring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ETCO 2 & Cardiac Resuscitation ,[object Object],[object Object],[object Object],[object Object]

Capnography What are we measuring?

Capnography Depicts Respiration

Physiological Factors Affecting ETCO 2 Levels

Normal Arterial & ETCO 2 Values

CAPNOGRAPHY Theory of Operation

Infrared Absorption ,[object Object],[object Object],[object Object],[object Object]

Capnography vs. Capnometry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Quantitative vs. Qualitative ETCO 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Colorimetric CO 2 Detectors ,[object Object],[object Object],[object Object],[object Object]

Elements of a Waveform ,[object Object],[object Object],[object Object],Alveolar gas mixes with dead space Alveolar Gas End of exhalation Inspiration

Value of the CO 2 Waveform ,[object Object],[object Object],[object Object],[object Object],[object Object]

The Normal CO 2 Waveform ,[object Object],[object Object],[object Object],[object Object],[object Object]

Esophageal Tube ,[object Object],[object Object]

Inadequate Seal Around ETT ,[object Object],[object Object],[object Object]

Hypoventilation (increase in ETCO 2 ) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hyperventilation (decrease in ETCO 2 ) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Rebreathing ,[object Object],[object Object],[object Object],[object Object],[object Object]

Obstruction ,[object Object],[object Object],[object Object],[object Object],[object Object]

Muscle Relaxants ,[object Object],[object Object],[object Object]

Faulty Ventilator Circuit Valve ,[object Object],[object Object],[object Object]

Sudden Loss of Waveform ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

#1 ,[object Object],[object Object],[object Object]

Waveform: Regular Shape, Plateau Below Normal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Waveform: Regular Shape, Plateau Above Normal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

01 capnography the new standard of care

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01 capnography the new standard of care