End-tidal carbon dioxide underestimates plasma carbon dioxide during emergent trauma laparotomy leading to hypoventilation and misguided resuscitation: A Western Trauma Association Multicenter Study.

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Abstract

End-tidal carbon dioxide (ETCO2) is routinely used during elective surgery to monitor ventilation. The role of ETCO2 monitoring in emergent trauma operations is poorly understood. We hypothesized that ETCO2 values underestimate plasma carbon dioxide (pCO2) values during resuscitation for hemorrhagic shock.

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Journal

Journal ID (iso-abbrev): J Trauma Acute Care Surg

Title: The journal of trauma and acute care surgery

Publisher: Ovid Technologies (Wolters Kluwer Health)

ISSN (Electronic): 2163-0763

ISSN (Print): 2163-0755

Publication date (Electronic): November 2019

Volume: 87

Issue: 5

Affiliations

[1 ] From the Department of Surgery (E.M.C., C.K.R., N.B., E.E.M., M.J.C., C.C.B.), Denver Health Medical Center; Department of Surgery (L.F., R.M., S.U.), University of Colorado Anschutz, Denver, Colorado; Department of Surgery (B.B., H.A.), University of Michigan, Ann Arbor, Michigan; Department of Surgery (R.C., S.M., A.C., E.R., B.N.G.), University of California, San Francisco; Zuckerberg San Francisco General Hospital (R.C., S.M., A.C., E.R., B.N.G.), San Francisco, California; Department of Surgery (B.P., M.M.M.), LSU Health Science Center New Orleans, New Orleans, Louisiana; Department of Surgery (J.N., A.G., S.A.), University of California, Irvine, Irvine, California; Department of Surgery (S.D., L.B., J.D., O.A.), Medical Center of the Rockies, Loveland; Department of Surgery (T.S., J.R., Z.S., C.D., H.H.), UCHealth Memorial Hospital, Colorado Springs, Colorado; Department of Surgery (D.S., J.B.), University of California, Davis, Davis, California; Department of Surgery (M.C.S., T.W.W., J.S.B.), Grant Medical Center, Columbus, Ohio; Department of Surgery (A.R.P., E.E.), Medical University of South Carolina Health, Charleston, South Carolina; Department of Surgery (S.L.S., A.P.), Dell Seton Medical Center at the University of Texas, Austin, Texas; Department of Surgery (S.M.M., A.L.S., P.O.U., M.N., A.D.), Wakemed, Raleigh, North Carolina; and, School of Public Health (A.S.), University of Colorado, Boulder, Colorado.

Article

DOI: 10.1097/TA.0000000000002469

PubMed ID: 31389913

SO-VID: 329bab44-8de1-4da6-895f-5aa42254b556

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