Transcutaneous Monitoring of Carbon Dioxide and Oxygen

Publication Date: November 1, 2012

RECOMMENDATIONS

Although PtcCO2 has a good correlation with PaCO2 and is a reliable method to evaluate plasma CO2 levels, it is recommended that arterial blood gas values be compared to TC readings taken at the time of arterial sampling, in order to verify the TC values, and periodically as dictated by the patient’s clinical condition. (1 – StrongA)
679

It is suggested that PtcCO2 may be used in clinical settings where monitoring the adequacy of ventilation is indicated. (2 – WeakB)
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It is suggested that PtcO2 and PtcCO2 may be used in determining the adequacy of tissue perfusion and monitoring of reperfusion. (2 – WeakB)
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It is suggested that TCM should be avoided in the presence of increased thickness or edema of the skin and/or subcutaneous tissue where the sensor is applied. (2 – WeakB)
679

It is recommended that sites used for a TCM be changed as often as necessary and that they be alternated and observed to avoid thermal injury. Manufacturer recommendations should be followed. (1 – StrongC)
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Recommendation Grading

Disclaimer

Overview

Title

Transcutaneous Monitoring of Carbon Dioxide and Oxygen

Authoring Organization

Publication Month/Year

November 1, 2012

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

The update of this clinical practice guideline is on transcutaneous monitoring (TCM) for PtcO2 and PtcCO

Target Patient Population

Patients requiring transcutaneous oxygen/carbondioxide monitoring

Inclusion Criteria

Adolescent, Child, Infant

Health Care Settings

Hospital

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Management

Diseases/Conditions (MeSH)

D006931 - Hyperbaric Oxygenation, D001785 - Blood Gas Monitoring, Transcutaneous, D015424 - Reperfusion

Keywords

hyperbaric oxygen, carbondioxide, oxygen, monitoring

Source Citation

Respir Care 2012; 57(11):1955–1962.

Methodology

Number of Source Documents
114
Literature Search Start Date
January 1, 1990
Literature Search End Date
September 1, 2011