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41 - The first years of clinical capnography

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

More than 40 years of clinical capnography have shown that the capnograph is one of the most useful monitors in anesthesiology and intensive care. The clinical use of capnography had its beginning in World War II. The Netherlands was one of the first countries where the capnograph was used as a monitoring device for patients with respiratory problems. Often, when a patient is emerging from an anesthetic, he/she may still be under the influence of the muscle relaxants used during the anesthetic procedure. Even in patients who are awake postoperatively and can breathe and talk, a respiratory disaster caused by muscle relaxants can develop in the recovery room. Cardiogenic oscillations always indicate that the respiration is inadequate. The most important circulatory complications are: hypotension, cardiac/circulatory arrest, air embolism and hypertension. The history of clinical capnography has proven that measuring and recording expired CO2 can prevent catastrophic events.
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Capnography , pp. 430 - 456
Publisher: Cambridge University Press
Print publication year: 2011

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