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16 - End-tidal carbon dioxide monitoring in postoperative ventilator weaning

from 1 - Ventilation

Published online by Cambridge University Press:  05 August 2011

J. S. Gravenstein
Affiliation:
University of Florida
Michael B. Jaffe
Affiliation:
Philip Healthcare
Nikolaus Gravenstein
Affiliation:
University of Florida
David A. Paulus
Affiliation:
University of Florida
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Summary

Monitoring PETCO2 serves as a useful adjunct in weaning postoperative patients from mechanical ventilation. Several laboratory techniques are commonly used as adjuncts to clinical assessment of the adequacy of ventilation. This chapter focuses on the procedures that are utilized for weaning patients from the ventilator. Successful weaning during the postoperative period requires the assurance that the patient is clinically stable and without clinically significant residual effects of the anesthetic agents utilized during surgery. Some clinicians utilize PETCO2 as a marker of the metabolic rate and, therefore, as a way of determining optimal ventilator settings during the weaning process. A variety of different devices are available to the practitioner caring for these patients. Data from PETCO2 monitoring should be used in conjunction with information derived from a clinical evaluation of the patient.
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Capnography , pp. 145 - 147
Publisher: Cambridge University Press
Print publication year: 2011

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