The patients who are planed for NPPV to prevent respiratory failure after extubation
Conditions
Interventions
Inner cup via mask (main stream) group measurement of ETCO2 using NPPV cap-ONE mask set(Nihon Kohden), CO2 censor kit
TG-980 (Nihon Kohden)
Nasal prong and oral scoop (side stream) group measurement of ETCO2 using Smart CapnoLine H Plus O2 (Oridion medical)
Sponsors
JA Hiroshima General Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The patients undergoing mechanical ventilation, planed for NPPV after extubation, are screened. The patients who pass Spontaneous Breathing Trial (SBT) , the difference between ETCO2 and PaCO2 5 mmHg or less during SBT, and an arterial line is placed.
Exclusion criteria
Exclusion criteria: indication for intubation (GCS 8 or less, inability to protect airway, hemodynamic instability, severe hypoxemia) agitation, intolerance for NPPV obstructive pulmonary disease diagnosed pulmonary embolism, or suspected severe anemia (Hb < 7.0 g/dL) not to correct blood gas sample difficult to include decided by physician not to get consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| correlation and agreement between ETCO2 and PaCO2 measured by a main stream monitoring using an NPPV cap-ONE mask set and a side stream monitoring using nasal prong and oral scoop | — |
Countries
Japan
Contacts
Public ContactMasaaki Sakuraya
JA Hiroshima General Hospital Department of Emergency and Intensive Care medicine
Outcome results
None listed