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AACN clinical issues · May 2003
ReviewSublingual capnometry: an alternative to gastric tonometry for the management of shock resuscitation.
- Sharon A Boswell and Thomas M Scalea.
- R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, Md, USA. sboswell@umm.edu
- AACN Clin Issues. 2003 May 1;14(2):176-84.
AbstractNormal vital signs do not reflect the physiologic aberrations after blood loss. Recognition of hypoperfusion during resuscitation can avoid the development of multiple organ failure. Advances in technology enable the clinician to monitor changes, potentially identifying tissue hypoxia much earlier than previously was possible. Gastric tonometry can be quite helpful in the intensive care unit in identifying gastric hypoperfusion, but has considerable drawbacks. The ability to monitor P(SI)CO(2) via sublingual capnometers overcomes some limitations of gastric tonometry and may be a valuable aid in the prehospital phase, the emergency department, and the intensive care unit in identifying end points of resuscitation.
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