Capnometry During Neonatal Transport

a 2025

Capnometry During Neonatal Transport

FUČÍKOVÁ, Hana; Radka ŠTĚPÁNOVÁ a Jan MILETIN

Základní údaje

Originální název

Capnometry During Neonatal Transport

Autoři

FUČÍKOVÁ, Hana; Radka ŠTĚPÁNOVÁ a Jan MILETIN

Vydání

2024 International Congress of the European Academy of Paediatrics (EAP) and the European Society for Paediatric Research (ESPR), 2025

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30230 Other clinical medicine subjects

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00141803

Organizační jednotka

Lékařská fakulta

DOI

https://doi.org/10.1111/apa.70069

UT WoS

001533675300167

Klíčová slova anglicky

capnometry; etCO2; carbon dioxide monitoring; mechanical ventilation; neonatal transport

Štítky

rivok

Změněno: 21. 1. 2026 12:24, Mgr. Tereza Miškechová

Anotace

V originále

Background and Aims: Monitoring critically ill, ventilated neonates during inter-hospital transport can be challenging. End tidal CO2 (etCO2/capnometry) is method potentially useful in these situations. The aim of this study was to assess accuracy and reliability of capnometry in neonates undergoing inter-hospital transport. Methods: Prospective, observational cohort study. Inclusion criteria were neonatal status and endotracheal ventilation during neonatal transport. Our primary outcome was to assess correlation and agreement between capnometry and blood obtained pCO2 at the start and end of measurement, using Intraclass Correlation Coefficients (ICC) and Bland-Altman plots. Secondary outcomes included assessment of capnometry trends during transport and its agreement with the pCO2 at the start/end of transport, incidence of hypo/hypercapnia during transport and effect of lung disease severity on capnometry measurements. To evaluate the trends, two approaches were chosen, determining: 1. whether the difference between the final and initial values of both measurements was consistently positive or negative and 2. whether the curves of the average CO2 concentration during transport visually matched. Results: There were 150 neonates included in the study. The median gestational age was 32 weeks of postmenstrual age, and the transport duration ranged from 15 to 282 minutes. ICC for the whole cohort pre-transport was 0.61 (95% CI 0.50 – 0.70) and post-transport 0.52 (95% CI 0.40 – 0.63). The ICC was between 0.5 to 0.75 in majority of sub cohorts indicating moderate reliability. Bland-Altman plots showed good agreement with capnometry consistently underestimating blood results by 1kPa. Conclusions: Capnometry is a useful tool to assess CO2 and trends during neonatal transport.

Návaznosti

90249, velká výzkumná infrastruktura

Název: CZECRIN IV

Citovat

FUČÍKOVÁ, Hana; Radka ŠTĚPÁNOVÁ a Jan MILETIN. Capnometry During Neonatal Transport. In 2024 International Congress of the European Academy of Paediatrics (EAP) and the European Society for Paediatric Research (ESPR). 2025. Dostupné z: https://doi.org/10.1111/apa.70069.

@proceedings{2512963,
   author = {Fučíková, Hana and Štěpánová, Radka and Miletin, Jan},
   booktitle = {2024 International Congress of the European Academy of Paediatrics (EAP) and the European Society for Paediatric Research (ESPR)},
   doi = {https://doi.org/10.1111/apa.70069},
   keywords = {capnometry; etCO2; carbon dioxide monitoring; mechanical ventilation; neonatal transport},
   language = {eng},
   title = {Capnometry During Neonatal Transport},
   url = {https://onlinelibrary.wiley.com/doi/10.1111/apa.70069},
   year = {2025}
}

TY  - CONF
ID  - 2512963
AU  - Fučíková, Hana - Štěpánová, Radka - Miletin, Jan
PY  - 2025
TI  - Capnometry During Neonatal Transport
KW  - capnometry
KW  - etCO2
KW  - carbon dioxide monitoring
KW  - mechanical ventilation
KW  - neonatal transport
UR  - https://onlinelibrary.wiley.com/doi/10.1111/apa.70069
N2  - Background and Aims: Monitoring critically ill, ventilated neonates during inter-hospital transport can be challenging. End tidal CO2 (etCO2/capnometry) is method potentially useful in these situations. The aim of this study was to assess accuracy and reliability of capnometry in neonates undergoing inter-hospital transport. Methods: Prospective, observational cohort study. Inclusion criteria were neonatal status and endotracheal ventilation during neonatal transport. Our primary outcome was to assess correlation and agreement between capnometry and blood obtained pCO2 at the start and end of measurement, using Intraclass Correlation Coefficients (ICC) and Bland-Altman plots. Secondary outcomes included assessment of capnometry trends during transport and its agreement with the pCO2 at the start/end of transport, incidence of hypo/hypercapnia during transport and effect of lung disease severity on capnometry measurements. To evaluate the trends, two approaches were chosen, determining: 1. whether the difference between the final and initial values of both measurements was consistently positive or negative and 2. whether the curves of the average CO2 concentration during transport visually matched. Results: There were 150 neonates included in the study. The median gestational age was 32 weeks of postmenstrual age, and the transport duration ranged from 15 to 282 minutes. ICC for the whole cohort pre-transport was 0.61 (95% CI 0.50 – 0.70) and post-transport 0.52 (95% CI 0.40 – 0.63). The ICC was between 0.5 to 0.75 in majority of sub cohorts indicating moderate reliability. Bland-Altman plots showed good agreement with capnometry consistently underestimating blood results by 1kPa. Conclusions: Capnometry is a useful tool to assess CO2 and trends during neonatal transport.
ER  -

FUČÍKOVÁ, Hana; Radka ŠTĚPÁNOVÁ a Jan MILETIN. Capnometry During Neonatal Transport. In \textit{2024 International Congress of the European Academy of Paediatrics (EAP) and the European Society for Paediatric Research (ESPR)}. 2025. Dostupné z: https://doi.org/10.1111/apa.70069.

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