Capnography as a tool to detect metabolic changes in patients cared for in the emergency setting
Capnography as a tool to detect metabolic changes in patients cared for in the emergency setting
复制标题
二氧化碳图作为检测紧急情况下护理的患者代谢变化的工具
DOI：
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发表时间：
2017
影响因子：
1.8
通讯作者：
J. Molina
中科院分区：
文献类型：
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作者：
Francisco José Cereceda;J. Molina
摘要 目的：评估二氧化碳图在急诊和重症监护环境中检测自主呼吸患者代谢变化的有用性。方法：在 EBSCOhost、Virtual Health Library、PubMed、Cochrane Library 等数据库中进行深入、结构化的文献检索，确定评估二氧化碳图值与血液酸碱平衡相关变量之间关系的研究。结果：找到 19 项研究，其中 2 项为综述，17 项为观察性研究。在九项研究中，二氧化碳图值与二氧化碳 (CO2) 相关，八项与碳酸氢盐 (HCO3) 相关，三项与乳酸相关，四项与血液 pH 值相关。结论：大多数研究发现二氧化碳图值与血液生物标志物之间存在良好的相关性，表明该参数可用于以快速、经济且准确的方式检测存在严重代谢变化风险的患者。
ABSTRACT Objective: to evaluate the usefulness of capnography for the detection of metabolic changes in spontaneous breathing patients, in the emergency and intensive care settings. Methods: in-depth and structured bibliographical search in the databases EBSCOhost, Virtual Health Library, PubMed, Cochrane Library, among others, identifying studies that assessed the relationship between capnography values and the variables involved in blood acid-base balance. Results: 19 studies were found, two were reviews and 17 were observational studies. In nine studies, capnography values were correlated with carbon dioxide (CO2), eight with bicarbonate (HCO3), three with lactate, and four with blood pH. Conclusions: most studies have found a good correlation between capnography values and blood biomarkers, suggesting the usefulness of this parameter to detect patients at risk of severe metabolic change, in a fast, economical and accurate way.