Síguenos en Twitter     Síguenos en Facebook     Síguenos en Google+     Síguenos en YouTube     Siguenos en Linkedin     Correo Grupsagessa     Gmail     Yahoo Mail     Dropbox     Instagram     Pinterest     Slack     Google Drive     Reddit     StumbleUpon     Print

SOBRE EL AUTOR **

Mi foto
FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

EMCrit Podcast 208 – Felipe Teran on Why We are Doing CPR Wrong

Buscar en contenido

Contenido:

miércoles, 24 de febrero de 2016

Capnography to identify sepsis

Capnoacademy - November 29, 2015 - By By Kelly Grayson
"While pre-existing pulmonary pathology such as asthma or COPD (especially CO2 retainers) can alter ETCO2 levels and complicate diagnosis of severe sepsis, careful evaluation of waveform morphology (normal waveforms and not the characteristic “shark fin” of acute bronchospasm) and a thorough history can help exclude those patients. In patients without such pathology, capnography can aid identification of severe sepsis.
By prompt initiation of vascular access and titrating fluid therapy and/or vasopressors (following local protocols) to a mean arterial pressure (MAP) > 65 mm Hg, EMS can help stabilize sepsis patients and prevent decompensation into septic shock."
This waveform shows hypocapnea – elevated respiratory rate, ETCO2 around 26, and normal waveform morphology. (Photo by Kelly Grayson)