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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1995-4-12
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pubmed:abstractText |
A prospective clinical trial was conducted at a level I trauma center to assess the efficacy of end-tidal carbon dioxide (CO2) detection in four groups of patients requiring emergency intubation because of cardiac arrest, major trauma, respiratory failure, or the need for airway protection. A semiquantitative, colorimetric FEF end-tidal CO2 detector (Fenem, Inc, New York, NY) was used to evaluate endotracheal versus esophageal intubation. This disposable, bedside detector registers three ranges of CO2 concentration: "A" (purple) indicates low levels and probable esophageal intubation; "B" (beige) indicates moderate levels and probable tracheal intubation with hypocarbia; "C" (yellow) indicates high levels and tracheal intubation. Clinical observation, patient response, chest x-ray films, and arterial blood gas results were used to corroborate placement of the endotracheal tube. The FEF detector was found to be 100% reliable for confirming tracheal placement when registering levels in the B and C ranges and 100% reliable for detecting esophageal intubation when registering levels in the A range. In conclusion, the FEF CO2 detector is a reliable and useful adjunct for airway management of diverse groups of patients in the emergency setting.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0736-4679
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
12
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
771-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:7884195-Adult,
pubmed-meshheading:7884195-Aged,
pubmed-meshheading:7884195-Aged, 80 and over,
pubmed-meshheading:7884195-Carbon Dioxide,
pubmed-meshheading:7884195-Colorimetry,
pubmed-meshheading:7884195-Emergencies,
pubmed-meshheading:7884195-Esophagus,
pubmed-meshheading:7884195-Heart Arrest,
pubmed-meshheading:7884195-Humans,
pubmed-meshheading:7884195-Intubation, Intratracheal,
pubmed-meshheading:7884195-Middle Aged,
pubmed-meshheading:7884195-Monitoring, Physiologic,
pubmed-meshheading:7884195-Prospective Studies,
pubmed-meshheading:7884195-Pulmonary Ventilation,
pubmed-meshheading:7884195-Respiratory Insufficiency,
pubmed-meshheading:7884195-Wounds and Injuries
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pubmed:articleTitle |
End-tidal carbon dioxide detection in emergency intubation in four groups of patients.
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pubmed:affiliation |
Department of Emergency Medicine, Martin Luther King Jr Medical Center, Los Angeles, California.
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pubmed:publicationType |
Journal Article,
Clinical Trial
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