Transcutaneous Monitoring of Carbon Dioxide and Oxygen
Publication Date: November 1, 2012
Last Updated: March 14, 2022
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)
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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)
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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
Overview
Title
Transcutaneous Monitoring of Carbon Dioxide and Oxygen
Authoring Organization
American Association for Respiratory Care
Publication Month/Year
November 1, 2012
Last Updated Month/Year
August 22, 2023
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