TY - JOUR AU - Özsoylu , Serkan AU - Akyıldız, Başak Nur AU - Dursun, Adem AU - Baykan, Ali PY - 2021/08/29 Y2 - 2024/03/29 TI - Evaluation Of The Relationship Between Transcutaneous Carbondioxide Monitorization And End-tidal Carbondioxide And Partial Carbondioxide Monitorization: Transcutaneous Carbondioxide Monitorization in PICU JF - The Journal of Pediatric Academy JA - JPA VL - 2 IS - 2 SE - Original Article DO - UR - https://jpediatricacademy.com/index.php/jpa/article/view/118 SP - 69-73 AB - <p>To evaluate the correlation of transcutaneous CO<sub>2</sub>(TcCO<sub>2</sub>) monitoring with PaCO₂ and ETCO<sub>2</sub>in mechanically ventilated patients in peditaric intensive care units.&nbsp;Single-center, prospective, observational cohort study.<strong>&nbsp;</strong>We enrolled 60 patients between the age of 1 month-18 years who were mechanically ventilated in pediatric intensive care unit for this single-center, prospective, observational cohort study from February 2019 through March 2019. Correlation analysis was performed for arterial PaCO<sub>2</sub>, end-tidal CO<sub>2</sub>, TcCO<sub>2</sub>parameters. P &lt; 0.05 values were considered significant. The Bland-Altman plot was created for determining the agreement between the methods.The correlation of transcutaneous CO<sub>2</sub>and end-tidal CO<sub>2</sub>with arterial PaCO<sub>2</sub>was evaluated, both parameters were found to be positively and highly correlated (r=0.864, p&lt;0.001, r:0.962, p&lt;0.001, respectively). The mean bias between the arterial carbondioxide mesaurement and transcutaneous measurement was 5.5, and limits of agreement (bias ± 1.96 SD) ranged from -13.9 to 2.9. The mean bias between the arterial carbondioxide mesaurement and end-tidal carbondioxide measurement was 2.3, and limits of agreement (bias ± 1.96 SD) ranged from -4.1 to 8.6. In 44 measurements (88%), the TcCO<sub>2</sub>was ± 7.5 mm Hg of the PaCO<sub>2</sub>. TcCO<sub>2</sub>seems to be a good alternative for carbon dioxide measurement, as it is non-invasive and allows continuous monitoring in view of today's intensive care conditions, but arterial PaCO<sub>2</sub>measurement is still the gold standard method. Continuous TcCO<sub>2</sub>monitoring provides a promising alternative to repeated blood sampling in subjects requiring mechanical ventilation for critically ill children.</p> ER -