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J Perinatol. 1998 May-Jun;18(3):189-92.

Transcutaneous measurement of carbon dioxide tension during long-distance transport of neonates receiving mechanical ventilation.

Author information

1
Division of Neonatology, Children's Hospital, University of Missouri-Columbia, USA.

Abstract

OBJECTIVE:

To determine the efficacy of transcutaneous carbon dioxide tension measurement during high-risk neonatal transport.

STUDY DESIGN:

This was a prospective, randomized comparative study. Infants transported from hospitals more than 30 miles away from our center and who required respiratory intervention were enrolled. Alternating transports used a transcutaneous CO2/O2 monitor. Ventilation parameters and end transport blood gas values served as primary endpoints for the study.

RESULTS:

Infants with transcutaneous carbon dioxide tension monitoring were more likely to have decreased ventilator peak pressures during transport than neonates not monitored (-1.5 cm H2O vs + 0.6 cm H2O; p = 0.04). Monitored neonates were more likely to arrive at the tertiary center with a more normal pH and a CO2 tension between 35 and 45 mm Hg (4.7 to 6.0 kPa) than nonmonitored infants (p = 0.03 and p = 0.01, respectively). The stabilization times before transport were not significantly prolonged by the use of the transcutaneous monitor.

CONCLUSIONS:

Transcutaneous monitoring of CO2 tension improves short-term respiratory outcome in neonates receiving mechanical ventilation during transport.

PMID:
9659646
[Indexed for MEDLINE]

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