PMID- 20138816
OWN - NLM
STAT- MEDLINE
DCOM- 20100630
LR  - 20191210
IS  - 1695-9531 (Electronic)
IS  - 1695-4033 (Linking)
VI  - 72
IP  - 3
DP  - 2010 Mar
TI  - [Validation of the transcutaneous carbon dioxide tension measurements in critical 
      paediatric patients].
PG  - 165-71
LID - 10.1016/j.anpedi.2009.10.021 [doi]
AB  - OBJECTIVE: To estimate the accuracy of the transcutaneous carbon dioxide tension 
      measurement (PtCO(2)) compared to the measurement of the arterial carbon dioxide 
      tension (PaCO(2)). MATERIAL AND METHODS: An analytical, longitudinal, prospective 
      and observational study, of a dynamic cohort taken from the in-patients of a 
      Paediatric Intensive Care Unit (PICU). The PtCO(2) was measured with the SenTec 
      AG analyzer, and the sensor was applied with the specific Multi-Site Attachment 
      Ring. PtCO(2) and PaCO(2) were recorded at the same time. The statistical 
      significance of the association between paired measurements was evaluated with 
      the Snedecor's F test, the Pearson's r(2) correlation coefficient and the 
      Interclass Correlation Coefficient (ICC). The degree of agreement was evaluated 
      with the Bland & Altman method. The consistency of the results was evaluated with 
      the ANalysis Of the VAriance (ANOVA). RESULTS: One hundred and six paired 
      measurements, PtCO(2) and PaCO(2), from twelve patients, were compared. The means 
      of the PaCO(2) and PtCO(2) were 51.0+/-13mmHg and 50.1+/-14mmHg, respectively; 
      r(2)=0.87 (p<0.001), ICC=0.96, (95% CI: 0.94-0.97). The Bland-Altman analysis 
      showed a mean difference of-0.9mmHg (95% CI:-2.0 to 0.2mmHg). The correlation was 
      better in cases with no respiratory disease, with low respiratory assistance, 
      with PaCO(2)>50mmHg and with the sensor applied on the forehead. The results were 
      consistent. No side effects derived from the use of the ring were observed. 
      CONCLUSION: The correlation between PtCO(2) and PaCO(2) is excellent and stable. 
      The ring sensor was safe and easy to use.
CI  - 2009 Asociacion Espanola de Pediatria. Published by Elsevier Espana. All rights 
      reserved.
FAU - Fernandez de Miguel, S
AU  - Fernandez de Miguel S
AD  - Hospital Universitario de Salamanca, Espana. sira007@hotmail.com
FAU - Gaboli, M
AU  - Gaboli M
FAU - Gonzalez-Celador, R
AU  - Gonzalez-Celador R
FAU - Gomez de Quero, P
AU  - Gomez de Quero P
FAU - Murga Herrero, V
AU  - Murga Herrero V
FAU - Sanchez Granados, J M
AU  - Sanchez Granados JM
FAU - Payo Perez, R
AU  - Payo Perez R
LA  - spa
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
TT  - Validacion de la medicion transcutanea de la presion parcial de dioxido de 
      carbono en el paciente critico pediatrico.
DEP - 20100206
PL  - Spain
TA  - An Pediatr (Barc)
JT  - Anales de pediatria (Barcelona, Spain : 2003)
JID - 101162596
SB  - IM
MH  - Adolescent
MH  - *Blood Gas Monitoring, Transcutaneous
MH  - Child
MH  - Child, Preschool
MH  - *Critical Illness
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Prospective Studies
EDAT- 2010/02/09 06:00
MHDA- 2010/07/01 06:00
CRDT- 2010/02/09 06:00
PHST- 2009/08/30 00:00 [received]
PHST- 2009/10/27 00:00 [revised]
PHST- 2009/10/28 00:00 [accepted]
PHST- 2010/02/09 06:00 [entrez]
PHST- 2010/02/09 06:00 [pubmed]
PHST- 2010/07/01 06:00 [medline]
AID - S1695-4033(09)00689-4 [pii]
AID - 10.1016/j.anpedi.2009.10.021 [doi]
PST - ppublish
SO  - An Pediatr (Barc). 2010 Mar;72(3):165-71. doi: 10.1016/j.anpedi.2009.10.021. Epub 
      2010 Feb 6.