End-Tidal Pco2 Measurements Sampled at the Distal and Proximal Ends of the Endotracheal Tube in Infants and Children

Authors:
  • JBJ. M. Badgwell
    J. M. Badgwell
  • MMM. E. McLeod
    M. E. McLeod
  • JLJ. Lerman
    J. Lerman
  • RCR. E. Creighton
    R. E. Creighton

Abstract
To determine whether the site of gas sampling affects end-tidal gas measurements in pediatric patients, end-tidal Pco2 was measured continuously from the distal and proximal ends of the endotracheal tube in 60 infants and children ventilated with an Air-Shields Ventimeter and a partial rehreathing circuit. These data were compared with simultaneous arterial Pco2 measurements. In infants and children weighing >12 kg, both distal and proximal end-tidal Pco2 values approximated arterial Pco2 measurements. In infants and children weighing <12 kg, however, only distal end-tidal Pco2 measurements approximated arterial Pco2 measurements. It is concluded that in infants and children weighing <12 kg, accurate end-tidal measurements can be obtained only from the distal end of the endotracheal tube.

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