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Nasal Capnography Monitoring of a Patient with Diabetic Ketoacidosis

  • Yesim Eyler (a1), Turgay Yilmaz Kilic (a1) and Hasan Idil (a1)

Abstract

Background:

End-tidal carbon dioxide (EtCO2) is a non-invasive method giving information about the perfusion, ventilation, and metabolic condition of patients. The correlation was studied here between the metabolic (pH, bicarbonate) values and EtCO2 during the treatment of diabetic ketoacidosis (DKA).

Case Report:

A 23-year-old male patient with diabetes mellitus was admitted to the emergency department (ED) with the complaints of nausea, vomiting, and fever. The patient with a diagnosis of DKA was continuously monitored with EtCO2; EtCO2 was correlated with serum bicarbonate (HCO3; r = 0.96; P < .001) and pH (r = 0.93; P < .001).

Conclusion:

Continuous EtCO2 monitoring should be considered by emergency physicians in the metabolic monitoring of the patients as it is an easy-to-use, non-invasive, and cost-effective method that provides instant and reliable information.

Copyright

Corresponding author

Correspondence: Yesim Eyler, MD, University of Health Sciences, Tepecik Training and Research Hospital, Department of Emergency Medicine, Gaziler Caddesi, Yenisehir, 35120, Izmir, Turkey, E-mail: dryesimeyler@gmail.com

References

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1.Nagler, J, Krauss, B. Capnography: a valuable tool for airway management. Emerg Med Clin North Am. 2008;26(4):881897.
2.Fearon, DM, Steele, DW. End-tidal carbon dioxide predicts the presence and severity of acidosis in children with diabetes. Acad Emerg Med. 2002;9(12):13731378.
3.Gilhotra, Y, Porter, P. Predicting diabetic ketoacidosis in children by measuring end-tidal CO2 via non-invasive nasal capnography. J Paediatr Child Health. 2007;43(10):677680.
4.Kartal, M, Eray, O, Rinnert, S, et al.ETCO2: a predictive tool for excluding metabolic disturbances in non-intubated patients. Am J Emerg Med. 2011;29(1):6569.
5.Nagler, J, Wright, RO, Baruch, K. End-tidal carbon dioxide as a measure of acidosis among children with gastroenteritis. Pediatrics. 2006;118(1):260267.

Keywords

Nasal Capnography Monitoring of a Patient with Diabetic Ketoacidosis

  • Yesim Eyler (a1), Turgay Yilmaz Kilic (a1) and Hasan Idil (a1)

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