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Scott DeBoer RN,MSN | 7 Mar 2012 22:54

neonatal co2 monitoring

Greetings - This topic came up at our staff meeting this AM - 
Hoping for teams insight regarding the use of etco2 monitoring (capnography or colormetric) on neonatal transport
specifically :
1) do you use it routinely on all intubated neo transports
2) is it used as a one time spot check or continuously during transport

thank you to all on the list for your ongoing help with queries

Scott

Scott DeBoer RN,MSN,CEN,CPEN,CCRN,CFRN,EMT-P
Flight Nurse: University of Chicago Hospitals
Founder: Peds-R-Us Medical Education
9052 Beall Street
Dyer, IN 46311 USA
www.Peds-R-Us.com - scott <at> peds-r-us.com
888-280-PEDS (7337)
866-449-7337 fax
219-313-5612 cell

"In each of us, two natures are at war – the good and the evil.  All our lives the fight goes on between them,
and one of them must conquer.  But in our own hands lies the power to choose – what we want most to be, we are."
Dr. Jekyll and Mr. Hyde
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Kerry Lynn Dudley | 8 Mar 2012 04:49
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Re: neonatal co2 monitoring

Intubated constantly,

I also love to keep one in isolate to make sure air exchange is sufficient 
in non-intubated patients due to difference in cabin pressure, gives heads 
up quickly as we all know baby pink and have good pulse ox but that shows 
nothing of proper elimination/ventilation  of Co2  from neonate/ isolates.

I have always been told I am overly cautious. Leave nothing to chance.

K. L. Dudley ATS/RRT

-----Original Message----- 
From: Scott DeBoer RN,MSN
Sent: Wednesday, March 07, 2012 4:54 PM
To: flightmed <at> flightweb.com
Subject: neonatal co2 monitoring

Greetings - This topic came up at our staff meeting this AM -
Hoping for teams insight regarding the use of etco2 monitoring (capnography 
or colormetric) on neonatal transport
specifically :
1) do you use it routinely on all intubated neo transports
2) is it used as a one time spot check or continuously during transport

thank you to all on the list for your ongoing help with queries

Scott

Scott DeBoer RN,MSN,CEN,CPEN,CCRN,CFRN,EMT-P
Flight Nurse: University of Chicago Hospitals
(Continue reading)

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Julielbacon | 8 Mar 2012 06:59
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Re: neonatal co2 monitoring

Hi - routinely and constantly on all intubated neonates.

Here is another part of this question (which causes great discussion among  
crew) - are you looking for placement and trends only or do you document 
the  actual number?  We seem to have difficulty in achieving "norm", although 
we  may have confirmation and then consistent at, say, 18.  So do you chart 
18  or is it just a positive?

Any wisdom welcome!

Julie L. Bacon, BA, RNC-LRN, CPEN, C-NPT

Chief Flight Nurse, All Children's Hospital,  St. Petersburg, FL
EMSC Advisory Committee Chairperson
Florida Bureau of  Emergency Medical Services
Clinical Educator, Women's Centre, Southlake  Hospital, Clermont, FL
Cell 407.432.5498
julielbacon <at> aol.com 

In a message dated 3/7/2012 10:54:03 P.M. Eastern Standard Time,  
kldflightrrt <at> hotmail.com writes:

Intubated constantly,

I also love to keep one in isolate to  make sure air exchange is sufficient 
in non-intubated patients due to  difference in cabin pressure, gives heads 
up quickly as we all know baby  pink and have good pulse ox but that shows 
nothing of proper  elimination/ventilation  of Co2  from neonate/ isolates.

I  have always been told I am overly cautious. Leave nothing to chance.
(Continue reading)

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Scott DeBoer RN,MSN | 8 Mar 2012 11:57

Re: neonatal co2 monitoring

Hi Julie - my personal experience, especially with the little ones has been to just write "+" or positive
i don't think the numbers, at least on the propac transport version of the co2 monitor for babies correlate
well enough to make vent changes etc, but i find it invaluable to make sure the ett is & stays in the right spot
(or to detect pea arrest)
Scott

Scott DeBoer RN,MSN,CEN,CPEN,CCRN,CFRN,EMT-P
Flight Nurse: University of Chicago Hospitals
Founder: Peds-R-Us Medical Education
9052 Beall Street
Dyer, IN 46311 USA
www.Peds-R-Us.com - scott <at> peds-r-us.com
888-280-PEDS (7337)
866-449-7337 fax
219-313-5612 cell

"In each of us, two natures are at war – the good and the evil.  All our lives the fight goes on between them,
and one of them must conquer.  But in our own hands lies the power to choose – what we want most to be, we are."
Dr. Jekyll and Mr. Hyde

-----Original Message-----
From: Julielbacon <Julielbacon <at> aol.com>
To: flightmed <flightmed <at> flightweb.com>
Sent: Wed, Mar 7, 2012 11:59 pm
Subject: Re: neonatal co2 monitoring

Hi - routinely and constantly on all intubated neonates.

Here is another part of this question (which causes great discussion among  
crew) - are you looking for placement and trends only or do you document
(Continue reading)

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Gary Mc Cormick | 8 Mar 2012 11:51
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RE: neonatal co2 monitoring

Hi, we use end tidal CO2 monitoring both routinely and continuously for all intubated patients.

The units are recorded and the waveforms reviewed for additional clues on ventilation and airway / lung compliance.

Gary Mc Cormick
Quality & Technical Manager
SA Red Cross Air Mercy Service
AMS Website:	www.ams.org.za

Aeromed-Africa 2012 Website:	www.aeromed-africa.com


-----Original Message-----
From: flightmed-bounces <at> flightweb.com [mailto:flightmed-bounces <at> flightweb.com] On Behalf Of Julielbacon <at> aol.com
Sent: Thursday, March 08, 2012 8:00 AM
To: flightmed <at> flightweb.com
Subject: Re: neonatal co2 monitoring

Hi - routinely and constantly on all intubated neonates.
 
Here is another part of this question (which causes great discussion among
crew) - are you looking for placement and trends only or do you document the  actual number?  We seem to have
difficulty in achieving "norm", although we  may have confirmation and then consistent at, say, 18.  So do
you chart
18  or is it just a positive?
 
Any wisdom welcome!
 
Julie L. Bacon, BA, RNC-LRN, CPEN, C-NPT

Chief Flight Nurse, All Children's Hospital,  St. Petersburg, FL EMSC Advisory Committee Chairperson
Florida Bureau of  Emergency Medical Services Clinical Educator, Women's Centre, Southlake  Hospital,
(Continue reading)

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Gmane