Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-25T06:24:44.765Z Has data issue: false hasContentIssue false
  • English
  • Français

Nasal Capnography Monitoring of a Patient with Diabetic Ketoacidosis

Published online by Cambridge University Press:  10 February 2020

Yesim Eyler Open the ORCID record for Yesim Eyler [Opens in a new window] ,
Turgay Yilmaz Kilic  and
Hasan Idil Open the ORCID record for Hasan Idil [Opens in a new window]
Yesim Eyler*
Affiliation:
Attending Physician of Emergency Medicine, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey
Turgay Yilmaz Kilic
Affiliation:
Attending Physician of Emergency Medicine, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey
Hasan Idil
Affiliation:
Attending Physician of Emergency Medicine, University of Health Sciences, Tepecik Training and Research Hospital, Izmir, Turkey
*
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
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

diabetic ketoacidosisend-tidal carbon dioxidenasal capnography
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 35 , Issue 2 , April 2020 , pp. 229 - 230
Copyright
© World Association for Disaster and Emergency Medicine 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Nagler, J, Krauss, B. Capnography: a valuable tool for airway management. Emerg Med Clin North Am. 2008;26(4):881–897.10.1016/j.emc.2008.08.005CrossRefGoogle ScholarPubMed
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):1373–1378.10.1197/aemj.9.12.1373CrossRefGoogle ScholarPubMed
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):677–680.10.1111/j.1440-1754.2007.01186.xCrossRefGoogle ScholarPubMed
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):65–69.10.1016/j.ajem.2009.08.001CrossRefGoogle Scholar
Nagler, J, Wright, RO, Baruch, K. End-tidal carbon dioxide as a measure of acidosis among children with gastroenteritis. Pediatrics. 2006;118(1):260–267.10.1542/peds.2005-2723CrossRefGoogle ScholarPubMed