Prehospital Use of Waveform Capnography in Intubated Neonates

Routine continuous monitoring of endotracheal tube placement with waveform capnography is considered standard of care in the prehospital setting. However, maintaining this standard in neonatal patients remains a challenge due to low tidal volumes that do not tolerate the additional dead space ETCO2...

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Bibliographic Details
Published in:Prehospital emergency care 2024, Vol.28 (4), p.568-571
Main Authors: Hartmann, Krista, Calatayud, Brittney, Flamm, Avram
Format: Article
Language:English
Subjects:
Adolescent
Adult
Capnography - methods
Child
Emergency Medical Services - methods
Female
Humans
Infant
Infant, Newborn
Intubation, Intratracheal - methods
Male
Monitoring, Physiologic - methods
Retrospective Studies
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Summary:Routine continuous monitoring of endotracheal tube placement with waveform capnography is considered standard of care in the prehospital setting. However, maintaining this standard in neonatal patients remains a challenge due to low tidal volumes that do not tolerate the additional dead space ETCO2 attachments add. Additionally, continuous ETCO2 can increase the risk of ETT dislodgement or kinking because of the weight and size of the capnography attachments relative to the patient and tube size. We hypothesize that there is a gap in care of intubated neonates when compared to adults in the prehospital setting in terms of continuous monitoring of ETT placement. Data were obtained from a single air medical agency. Through a retrospective chart review, records of intubated neonates (
ISSN:1090-3127
1545-0066
DOI:10.1080/10903127.2024.2309214