Sunday, May 1, 2016

Capnography for Suspected DKA

Resultado de imagen de BMC emergency Medicine
Bou Chebl R et al. BMC Emerg Med. 2016; 16: 7. Published online 2016 Jan 29. - doi: 10.1186/s12873-016-0072-7 - PMCID: PMC4731965
This single centre study suggests that end tidal capnography in adults presenting to the 
emergency department with glucose levels > 550 mg/dL may useful in identifying and ruling out DKA. The external validity of the results should be confirmed by further prospective studies." 
Soleimanpour, Hassan, Western Journal of Emergency Medicine 2013;XIV(6):590-594
DKA patients do require decisive and prompt treatment. The aim of the current study was to introduce capnography as a screening tool for DKA diagnosis. Capnography is a simple, noninvasive and inexpensive method that could be performed at bedside. A linear relation could be detected between capnography and blood bicarbonate values. Capnography could be used to rule out DKA in patients with increased blood sugar levels with a cut-off point of 24.5 mmHg, with sensitivity of 0.90 and specificity of 0.90."