Usefulness of transcutaneous PCO2 to assess nocturnal hypoventilation in restrictive lung disorders.
Fiche publication
Date publication
octobre 2016
Journal
Respirology (Carlton, Vic.)
Auteurs
Membres identifiés du Cancéropôle Est :
Pr BONNIAUD Philippe
Tous les auteurs :
Georges M, Nguyen-Baranoff D, Griffon L, Foignot C, Bonniaud P, Camus P, Pepin JL, Rabec C
Lien Pubmed
Résumé
Nocturnal hypoventilation is now an accepted indication for the initiation of non-invasive ventilation. Nocturnal hypoventilation may be an under diagnosed condition in chronic respiratory failure. The most appropriate strategy to identify sleep hypoventilation is not yet clearly defined. In clinical practice, it is indirectly assessed using nocturnal pulse oximetry (NPO) and morning arterial blood gases (mABG). Even though continuous transcutaneous carbon dioxide partial pressure (TcPCO2 ) monitoring is theoretically superior to NPO plus mABG, it is not routinely used. We aimed to prospectively compare NPO plus mABG with nocturnal TcPCO2 for the detection of alveolar hypoventilation in a cohort of patients with chronic restrictive respiratory dysfunction.
Mots clés
arterial blood gas, chronic respiratory failure, monitoring, oxygen saturation, transcutaneous carbon dioxide pressure
Référence
Respirology. 2016 10;21(7):1300-6