Literature DB >> 2499226

Water vapor calibration errors in some capnometers: respiratory conventions misunderstood by manufacturers?

J W Severinghaus1.   

Abstract

Incorrect calibration has been included in several recently introduced CO2 analyzers. They display a value of "PCO2" internally calculated as FCO2 X Pb rather than FCO2(Pb - 47) where Pb is barometric pressure. This conceptual error appears to have been introduced because new sampling catheter material has become available that effectively removes water vapor before samples reach the sample cell. This seems to have led some manufacturers to assume, incorrectly, that the 47 mmHg factor used to compute PCO2 in patients would no longer be needed. Users can test whether this error is present in an instrument by testing the effect of wet versus dry gases, and make appropriate corrections if the errors are present. Manufacturers should promptly correct this error in all instruments sold previously.

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Year:  1989        PMID: 2499226     DOI: 10.1097/00000542-198906000-00019

Source DB:  PubMed          Journal:  Anesthesiology        ISSN: 0003-3022            Impact factor:   7.892


  16 in total

1.  Indirect calorimetry in obese female subjects: Factors influencing the resting metabolic rate.

Authors:  Theresa Hagedorn; Eleonora Poggiogalle; Claudia Savina; Cecilia Coletti; Maddalena Paolini; Luciano Scavone; Barbara Neri; Lorenzo Maria Donini
Journal:  World J Exp Med       Date:  2012-06-20

2.  Relationship between arterial carbon dioxide and end-tidal carbon dioxide when a nasal sampling port is used.

Authors:  S E McNulty; J Roy; M Torjman; J L Seltzer
Journal:  J Clin Monit       Date:  1990-04

3.  Evaluation of three transportable multigas anesthetic monitors: the Bruel & Kjaer Anesthetic Gas Monitor 1304, the Datex Capnomac Ultima, and the Nellcor N-2500.

Authors:  J Nielsen; T Kann; J T Moller
Journal:  J Clin Monit       Date:  1993-04

4.  A generalized procedure for calibrated MRI incorporating hyperoxia and hypercapnia.

Authors:  Claudine J Gauthier; Richard D Hoge
Journal:  Hum Brain Mapp       Date:  2012-01-16       Impact factor: 5.038

5.  Changes in PETCO2 and pulmonary blood flow after bronchial occlusion in dogs.

Authors:  D H Johnson; P C Chang; T S Hurst; F B Reynolds; S A Lang; I Mayers
Journal:  Can J Anaesth       Date:  1992-02       Impact factor: 5.063

6.  Accuracy and cross-sensitivity of 10 different anesthetic gas monitors.

Authors:  B Walder; R Lauber; A M Zbinden
Journal:  J Clin Monit       Date:  1993-11

7.  Carbon dioxide analysers: accuracy, alarm limits and effects of interfering gases.

Authors:  R Lauber; B Seeberger; A M Zbinden
Journal:  Can J Anaesth       Date:  1995-07       Impact factor: 5.063

8.  Rebreathing improves accuracy of ventilatory monitoring.

Authors:  J R Bowie; P Knox; J B Downs; R A Smith
Journal:  J Clin Monit       Date:  1995-11

9.  Accuracy of end-tidal carbon dioxide tension analyzers.

Authors:  D B Raemer; I Calalang
Journal:  J Clin Monit       Date:  1991-04

10.  An improved nasal prong apparatus for end-tidal carbon dioxide monitoring in awake, sedated patients.

Authors:  J Roy; S E McNulty; M C Torjman
Journal:  J Clin Monit       Date:  1991-07
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