Original Articles
Usefulness of Transcutaneous Carbon Dioxide Pressure Monitoring to Measure Blood Gases in Adults Hospitalized for Respiratory Disease
A. Herrejón
, I. Inchaurraga, J. Palop, S. Ponce, R. Peris, M. Terrádez, R. Blanquer
Corresponding author
herrejon_alb@gva.es
Correspondence: Dr. A. Herrejón. Servicio de Neumología. Hospital Universitario Dr. Peset. Avda. Gaspar Aguilar, 90. 46017 Valencia. España
Correspondence: Dr. A. Herrejón. Servicio de Neumología. Hospital Universitario Dr. Peset. Avda. Gaspar Aguilar, 90. 46017 Valencia. España
Servicio de Neumología, Hospital Universitario Dr. Peset, Valencia, Spain
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"apellidos" => "Herrejón" "email" => array:1 [ 0 => "herrejon_alb@gva.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "I." "apellidos" => "Inchaurraga" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Palop" ] 3 => array:2 [ "nombre" => "S." "apellidos" => "Ponce" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Peris" ] 5 => array:2 [ "nombre" => "M." "apellidos" => "Terrádez" ] 6 => array:2 [ "nombre" => "R." "apellidos" => "Blanquer" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Neumología, Hospital Universitario Dr. Peset, Valencia, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. A. Herrejón. Servicio de Neumología. Hospital Universitario Dr. Peset. Avda. Gaspar Aguilar, 90. 46017 Valencia. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-05-27" "fechaAceptado" => "2005-10-25" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec154334" "palabras" => array:5 [ 0 => "Transcutaneous carbon dioxide pressure" 1 => "Transcutaneous oxygen saturation" 2 => "Partial pressure of carbon dioxide, arterial" 3 => "Arterial oxygen saturation" 4 => "Respiratory diseases" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec154333" "palabras" => array:5 [ 0 => "Presión transcutánea de CO<span class="elsevierStyleInf">2</span>" 1 => "Presión arterial de CO<span class="elsevierStyleInf">2</span>" 2 => "Saturación transcutánea de oxígeno" 3 => "Saturación arterial de oxígeno" 4 => "Enfermedades respiratorias" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">TO evaluate the usefulness of transcutaneous carbon dioxide pressure (TcPCO<span class="elsevierStyleInf">2</span>) monitoring in patients hospitalized for respiratory disease.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">We used a SenTec TcPCO<span class="elsevierStyleInf">2</span> monitor that also determines transcutaneous oxygen saturation (SpO<span class="elsevierStyleInf">2</span>) by means of a sensor placed behind the ear lobe at a temperature of 42°C. We compared arterial blood gas measurements—PaCO<span class="elsevierStyleInf">2</span> and arterial oxygen saturation (SaO<span class="elsevierStyleInf">2</span>)—with transcutaneous measurements and analyzed the correlation, regression line, and agreement between the 2 methods.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Thirty patients (20 men and 10 women) with various respiratory diseases and a mean (SD) age of 71 (13) years were included in the study. The median TcPCO<span class="elsevierStyleInf">2</span> was 43.25 mm Hg and the median PaCO<span class="elsevierStyleInf">2</span> was 42.6 mm Hg with no significant differences between the 2 measurements. The correlation was significant (ρ=0.979; P<.0001) and the corresponding regression equation was TcPCO<span class="elsevierStyleInf">2</span>=-2.475+1.058 PaCO<span class="elsevierStyleInf">2</span>. The mean difference was 0.16mmHg (95% confidence interval [CI], −0.74 to 1.06). The lower limit of agreement (mean −1.96 SD) was −4.64 mmHg, and the upper limit (mean +1.96 SD) was 4.96 mmHg. For SaO<span class="elsevierStyleInf">2</span>, the median was 94% and for SpO<span class="elsevierStyleInf">2</span>,95%. The difference between the 2 medians was significant (P<.004). The correlation was also significant (ρ=0.822; P<.0001) with SpO<span class="elsevierStyleInf">2</span>=4.427+0.97 SaO<span class="elsevierStyleInf">2</span>. The mean difference was 1.14% (95% CI, 0.381% to 1.899%). The lower limit of agreement (mean −1.96 SD) was −2.93% and the upper limit (mean +1.96 SD) was 5.21%</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Transcutaneous determination of carbon dioxide pressure and oxygen saturation is useful for patients hospitalized for respiratory disease in view of its good correlation and agreement, although SpO<span class="elsevierStyleInf">2</span> does tend to overestimate SaO<span class="elsevierStyleInf">2</span>.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Estudiar la utilidad de la medida de la presión transcutánea de anhídrido carbónico (PtcCO<span class="elsevierStyleInf">2</span>) en pacientes con enfermedad respiratoria hospitalizados.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Utilizamos el analizador de PtcCO<span class="elsevierStyleInf">2</span> SenTec®, que también determina la saturación transcutánea de oxígeno (SatcO<span class="elsevierStyleInf">2</span>), mediante un sensor colo-cado en el lóbulo de la oreja a una temperatura de 42 °C. Se compararon los valores gasométricos-presión arterial de anhídrido carbónico (PaCO<span class="elsevierStyleInf">2</span>) y saturación arterial de oxígeno (SaO<span class="elsevierStyleInf">2</span>)-con los transcutáneos, analizando la correlación, recta de regresión y la concordancia entre ambos métodos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se incluyó a 30 pacientes (20 varones y 10 mujeres) con diversas enfermedades respiratorias, con una media (± desviación estándar [DE]) de edad de 71 ± 13 años. La mediana de la PtcCO<span class="elsevierStyleInf">2</span> era de 43,25 mmHg, y la de la PaCO<span class="elsevierStyleInf">2</span> de 42,6 mmHg, sin existir diferencias entre ellas. La correlación era significativa (rho = 0,979; p < 0,0001), sien-do la PtcCO<span class="elsevierStyleInf">2</span> = −2,475 + 1,058 PaCO<span class="elsevierStyleInf">2</span>. La media de las diferencias fue de 0,16 mmHg (intervalo de confianza del 95%, de −0,74 a 1,06); la media de las diferencias menos 1,96 DE fue de −4,64 mmHg, y más 1,96 DE, de 4,96 mmHg.</p><p class="elsevierStyleSimplePara elsevierViewall">En cuanto a la SaO<span class="elsevierStyleInf">2</span>, la mediana era del 94%, y la de la SatcO<span class="elsevierStyleInf">2</span> del 95%, con diferencias entre ambas (p < 0,004). La correlación fue significativa (rho = 0,822; p < 0,0001), con SatcO<span class="elsevierStyleInf">2</span> = 4,427 + 0,97 SaO<span class="elsevierStyleInf">2</span>. La media de la concordancia era del 1,14% (intervalo de confianza del 95%, 0,381–1,899%); la media menos 1,96 DE era del −2,93%, y más 1,96 DE, del 5,21%.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La determinación transcutánea de anhídrido carbónico y de la SaO<span class="elsevierStyleInf">2</span> es de utilidad en pacientes con enfermedad respiratoria hospitalizados, dada su buena correlación y concordancia, aunque la SatcO<span class="elsevierStyleInf">2</span> tiende a sobre-valorar la SaO<span class="elsevierStyleInf">2</span>.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:21 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pulse oximetry" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "AARC Clinical Practice Guideline" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Respir Care" "fecha" => "1991" "volumen" => "36" "paginaInicial" => "1406" "paginaFinal" => "1409" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10145590" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Valoración de la presión transcutánea de oxígeno en adultos con patología respiratoria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "A Herrejón" 1 => "M Simó" 2 => "E Chiner" 3 => "ME Pérez" 4 => "J Marín" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Fisiol." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 4 | 7 |
| 2024 October | 33 | 22 | 55 |
| 2024 September | 31 | 24 | 55 |
| 2024 August | 48 | 32 | 80 |
| 2024 July | 29 | 26 | 55 |
| 2024 June | 29 | 15 | 44 |
| 2024 May | 53 | 25 | 78 |
| 2024 April | 39 | 20 | 59 |
| 2024 March | 38 | 13 | 51 |
| 2024 February | 19 | 15 | 34 |
| 2023 March | 3 | 4 | 7 |
| 2023 February | 16 | 13 | 29 |
| 2023 January | 19 | 22 | 41 |
| 2022 December | 26 | 29 | 55 |
| 2022 November | 14 | 14 | 28 |
| 2022 October | 36 | 28 | 64 |
| 2022 September | 15 | 24 | 39 |
| 2022 August | 19 | 35 | 54 |
| 2022 July | 19 | 36 | 55 |
| 2022 June | 20 | 33 | 53 |
| 2022 May | 16 | 25 | 41 |
| 2022 April | 20 | 26 | 46 |
| 2022 March | 29 | 27 | 56 |
| 2022 February | 19 | 29 | 48 |
| 2022 January | 18 | 26 | 44 |
| 2021 December | 16 | 49 | 65 |
| 2021 November | 15 | 50 | 65 |
| 2021 October | 23 | 50 | 73 |
| 2021 September | 24 | 51 | 75 |
| 2021 August | 14 | 30 | 44 |
| 2021 July | 16 | 25 | 41 |
| 2021 June | 24 | 36 | 60 |
| 2021 May | 42 | 19 | 61 |
| 2021 April | 76 | 66 | 142 |
| 2021 March | 32 | 21 | 53 |
| 2021 February | 9 | 14 | 23 |
| 2021 January | 13 | 16 | 29 |
| 2020 December | 14 | 13 | 27 |
| 2020 November | 11 | 8 | 19 |
| 2020 October | 12 | 12 | 24 |
| 2020 September | 2 | 4 | 6 |
| 2020 August | 10 | 12 | 22 |
| 2020 July | 22 | 18 | 40 |
| 2020 June | 6 | 7 | 13 |
| 2020 May | 12 | 21 | 33 |
| 2020 April | 22 | 24 | 46 |
| 2020 March | 24 | 10 | 34 |
| 2020 February | 70 | 23 | 93 |
| 2020 January | 35 | 42 | 77 |
| 2019 December | 22 | 31 | 53 |
| 2019 November | 21 | 25 | 46 |
| 2019 October | 5 | 22 | 27 |
| 2019 September | 7 | 28 | 35 |
| 2019 August | 10 | 23 | 33 |
| 2019 July | 8 | 24 | 32 |
| 2019 June | 11 | 31 | 42 |
| 2019 May | 9 | 25 | 34 |
| 2019 April | 19 | 68 | 87 |
| 2019 March | 11 | 46 | 57 |
| 2019 February | 8 | 19 | 27 |
| 2019 January | 9 | 15 | 24 |
| 2018 December | 11 | 19 | 30 |
| 2018 November | 13 | 16 | 29 |
| 2018 October | 16 | 18 | 34 |
| 2018 September | 14 | 16 | 30 |
| 2018 May | 6 | 0 | 6 |
| 2018 April | 7 | 8 | 15 |
| 2018 March | 4 | 2 | 6 |
| 2018 February | 4 | 8 | 12 |
| 2018 January | 6 | 6 | 12 |
| 2017 December | 4 | 12 | 16 |
| 2017 November | 3 | 18 | 21 |
| 2017 October | 5 | 15 | 20 |
| 2017 September | 6 | 21 | 27 |
| 2017 August | 7 | 20 | 27 |
| 2017 July | 5 | 17 | 22 |
| 2017 June | 7 | 30 | 37 |
| 2017 May | 10 | 27 | 37 |
| 2017 April | 2 | 11 | 13 |
| 2017 March | 1 | 43 | 44 |
| 2017 February | 1 | 7 | 8 |
| 2017 January | 2 | 4 | 6 |
| 2016 December | 16 | 11 | 27 |
| 2016 November | 9 | 8 | 17 |
| 2016 October | 22 | 11 | 33 |
| 2016 September | 16 | 11 | 27 |
| 2016 August | 20 | 10 | 30 |
| 2016 July | 16 | 9 | 25 |
| 2016 March | 2 | 0 | 2 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 114 | 14 | 128 |
| 2015 September | 108 | 20 | 128 |
| 2015 August | 121 | 18 | 139 |
| 2015 July | 113 | 10 | 123 |
| 2015 June | 85 | 10 | 95 |
| 2015 May | 105 | 16 | 121 |
| 2015 April | 96 | 21 | 117 |
| 2015 March | 106 | 9 | 115 |
| 2015 February | 98 | 11 | 109 |
| 2015 January | 81 | 5 | 86 |
| 2014 December | 97 | 16 | 113 |
| 2014 November | 139 | 13 | 152 |
| 2014 October | 132 | 19 | 151 |
| 2014 September | 108 | 17 | 125 |
| 2014 August | 88 | 12 | 100 |
| 2014 July | 79 | 9 | 88 |
| 2014 June | 82 | 13 | 95 |
| 2014 May | 66 | 16 | 82 |
| 2014 April | 79 | 10 | 89 |
| 2014 March | 69 | 19 | 88 |
| 2014 February | 74 | 17 | 91 |
| 2014 January | 68 | 14 | 82 |
| 2013 December | 67 | 11 | 78 |
| 2013 November | 56 | 19 | 75 |
| 2013 October | 59 | 26 | 85 |
| 2013 September | 65 | 10 | 75 |
| 2013 August | 55 | 22 | 77 |
| 2013 July | 58 | 19 | 77 |
| 2013 June | 51 | 14 | 65 |
| 2013 May | 46 | 11 | 57 |
| 2013 April | 26 | 10 | 36 |
| 2013 March | 14 | 2 | 16 |
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