Abstract To study the correlation between end-tidal carbon dioxide (PetCO2) and partial pressure of arterial carbon dioxide (PaCO2) in ventilated newborns. Methods Thirty-one ventilated newborn underwent mainstream PetCO2 monitoring; meanwhile, arterial blood gas analysis was performed. The correlation and consistency between PetCO2 and PaCO2 were assessed. Results A total of 85 end-tidal and arterial CO2 pairs were obtained from 31 ventilated newborns. The mean PetCO2 (41±10 mm Hg) was significantly lower than the corresponding mean PaCO2 (46±11 mm Hg) (P2 and PaCO2 (r=0.92, P2 bias was 5.1±4.3 mm Hg (95% limits of consistency, -3.3 to 13.6 mmHg), and 5% (4/85) of the points were beyond the 95%CI. When the oxygenation index (OI) was less than 300 mm Hg (n=48), there was a significant positive correlation between PetCO2 and PaCO2 (r=0.85, P2 bias was 5.9±4.3 mm Hg (95% limits of consistency, -2.6 to 14.5 mm Hg), and 4.2% (2/48) of the points were beyond the 95%CI. When the OI was more than 300 mm Hg (n=37), there was also a significant positive correlation between PetCO2 and PaCO2 (r=0.91, P2 bias was 4.1±4.1 mm Hg (95% limits of consistency, -3.9 to 12.1 mm Hg), and 5% (2/37) of the points were beyond the 95%CI. Conclusions There is a good correlation and consistency between PetCO2 and PaCO2 in ventilated newborns.
FENG Jin-Xing,LIU Xiao-Hong,HUANG Hui-Jun et al. Correlation between end-tidal carbon dioxide and partial pressure of arterial carbon dioxide in ventilated newborns[J]. CJCP, 2014, 16(5): 465-468.
FENG Jin-Xing,LIU Xiao-Hong,HUANG Hui-Jun et al. Correlation between end-tidal carbon dioxide and partial pressure of arterial carbon dioxide in ventilated newborns[J]. CJCP, 2014, 16(5): 465-468.
Hedeland RL, Hvidt K, Nersting J, et al. DNA incorporation of 6-thioguanine nucleotides during maintenance therapy of childhood acute lymphoblastic leukaemia and non-Hodgkin lymphoma[J]. Cancer Chemother Pharmacol, 2010, 66(3): 485-491.
Luo XO, Ke ZY, Guan XQ, et al. The comparison of outcome and cost of three protocols for childhood non-high risk acute lymphoblastic leukemiain China[J]. Pediatr Blood Cancer, 2008, 51(2): 204-209.
[13]
Daniele T, Stephanie G, Francesco C, et al. End-tidal carbon dioxide monitoring in very low birth weight infants: correlation and agreement with arterial carbon dioxide[J]. Pediatric Pulmonology, 2012, 47(4): 367-372.
[5]
Dorababu P, Nagesh N, Linga VG, et al. Epistatic interactions between thiopurine methyltransferase(TPMT) and inosine triphosphate pyrophosphatase (ITPA)[J]. Eur J Clin Pharmacol, 2012, 68(4): 379-387.
[14]
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement[J]. Lancet, 1986, 1(8476): 307-310.
[6]
Adam de Beaumais T, Fakhoury M, Medard Y, et al. Determinants of mercaptopurine toxicity in paediatric acute lymphoblastic leukemia maintenance therapy[J]. Br J Clin Pharmacol, 2011, 71(4): 575-584.