The Journal of Pediatrics
Volume 152, Issue 6 , Pages 829-832 , June 2008

Quantitative End-Tidal Carbon Dioxide in Acute Exacerbations of Asthma

  • Melissa L. Langhan, MD

      Affiliations

    • Yale University School of Medicine and the Department of Pediatrics, Section of Pediatric Emergency Medicine, Yale-New Haven Children's Hospital, New Haven, CT
    • Corresponding Author InformationReprint requests: Melissa Langhan, MD, 840 Howard Ave, Yale-New Haven Children's Hospital, Pediatric Emergency Department, New Haven, CT 06520.
    • ,
  • Mark R. Zonfrillo, MD

      Affiliations

    • Division of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA
    • ,
  • David M. Spiro, MD, MPH

      Affiliations

    • Departments of Emergency Medicine and Pediatrics, Section of Pediatric Emergency Medicine, Oregon Health and Science University, Portland, OR.

Received 3 May 2007 ,Revised 4 October 2007 ,Accepted 26 November 2007.

References 

  1. Bloom B, Dey AN, Freeman G. Summary health statistics for U.S. children: National Health Interview Survey, 2005. National Center for Health Statistics, Vital Health Stat 10. 2006;1–78
  2. Gorelick MH, Stevens MW, Schultz TR, Scribano PV. Performance of a novel clinical severity score, the pediatric asthma severity score (PASS), in the evaluation of acute asthma. Acad Emerg Med. 2004;11:10–18
  3. Van der Windt D. Promises and pitfalls in the evaluation of pediatric asthma scores. J Pediatr. 2000;137:744–746
  4. Gorelick MH, Stevens MW, Schultz T, Scribano PV. Difficulty in obtaining peak expiratory flow measurements in children with acute asthma. Pediatr Emerg Care. 2004;20:22–26
  5. Tobias JD, Flanagan JF, Wheeler TJ, Garrett JS, Burney C. Noninvasive monitoring of end tidal CO2 via nasal cannulas in spontaneously breathing children during the perioperative period. Crit Care Med. 1994;22:1805–1808
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  12. Ward KR, Yelay DM. End-tidal carbon dioxide monitoring in emergency medicine, Part 2: Clinical applications. Acad Emerg Med. 1998;5:637–646
  13. Smith SR, Baty JD, Hodge D. Validation of the pulmonary score: an asthma severity score for children. Acad Emerg Med. 2002;99:99–104
  14. Kerem E, Canny G, Tibshirani R, Reisman J, Bentur L, Schuh S, et al. Clinical-physiologic correlations in acute asthma of childhood. Pediatrics. 1991;87:481–486
  15. Kunkov S, Pinedo V, Silver EJ, Crain EF. Predicting the need for hospitalization in acute childhood asthma using end-tidal capnography. Pediatr Emerg Care. 2005;21:574–577
  16. Yaron M, Padyk P, Hutsinpiller M, Cairns CB. Utility of the expiratory capnogram in the assessment of bronchospasm. Ann Emerg Med. 1996;28:403–407
  17. Casati A, Gallioli G, Scandroglio M, Passaretta R, Borghi B, Tori G. Accuracy of end-tidal carbon dioxide monitoring using the NBP-75 microstream capnometer (A study in intubated ventilated and spontaneously breathing nonintubated patients). Eur J Anaesthesiol. 2000;17:622–626
  18. Abramo TJ, Cowan MR, Scott SM, Primm PA, Wiebe RA, Signs M. Comparison of pediatric end-tidal CO2 measured with nasal/oral cannula circuit and capillary Pco2. Am J Emerg Med. 1995;13:30–33
  19. Eid N, Yandell B, Howell L, Eddy M, Sheikh S. Can peak expiratory flow predict airflow obstruction in children with asthma?. Pediatrics. 2000;105:354–358
  20. Corbo J, Bijur P, Lahn M, Gallagher EJ. Concordance between capnography and arterial blood gas measurements of carbon dioxide in acute asthma. Ann Emerg Med. 2005;46:323–337

PII: S0022-3476(07)01126-2

doi: 10.1016/j.jpeds.2007.11.032

The Journal of Pediatrics
Volume 152, Issue 6 , Pages 829-832 , June 2008

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