Interpreting Capnography:
Phusioloy of Cannas:
Phase I Anatomical deadspace; no exchange of gas
uring erly phase of expiration
1 1
a2: During sis pase of pation gas exchange
ceca tthe avec Minar of etonioa
tate oniepoe
0
of
oi i es
eect secoa
ee
Aiphrangle: The Aipha angle shows the VQ satus of
the lungs. The Bets angle shows rebreathing.
‘Nonna Cannoszan ‘Destessed Caine Out ‘Tension Pacumotora:
aes ExCo2-28 Bco2-20
‘When Co2 drops so does CO. ‘Tra patient, venlated, BP
“Tis wil bea mechanical Watch out for this when you ‘O180, ne BS righ nd
_eniated breath, havea tags patient probable decreased CO.
‘Caniac atest: (Trend) ‘corp:
E1C02=36
‘This usualy occurs when you Fane rescuer fatigue. I's now time 10
eta new erin ido the CPR, especialy i ExCa2 =<10. May
also indicate hypotension, acute blood lessor FE
“This classic reversal of phase
I (downsioping is indicative
‘of permanent destruction of
alveolar capillary beds.
‘Rebsaine:
Sf LP
Patentis waking up and taking sme spontaneous breaths. The
large breaths are vent breaths, andthe salle breaths are
spontaneous respirations.
PEEP or CPAP:
fA
{ \ Exco2-0
‘Sudden foes of waveform in intubated patient may signal
the ETT has become dislodged. May also indicate that
‘he patent as stopped beating.
‘Canliae mest Rebreating: (Trend)
‘Trend shows gradual elevation of baseline an opine. CO2 is
‘Rishi meinem intibaton
is shows biphasic expiration,
peak = R lung vetaion!
gas exchange, 7 peak = et
‘Absense of any detetable CO? means you better
rentbate
Downward slope of plateau bens in with descending limb. May
be indicative of leaky ETT or wach cul, o rel srway too
Sl or he ptien's ache.
increasing wih cach breath Tung exchange poor verilation,
‘Esapastal_ Inubaion:
‘Obst Airways
0, tea
= E1c02=36
“Tis “sharks” shape
indicative of asta, COPD,
emphysema befor
bronchodilator
Hsnoventlion
“May be indicative of muscle relaxants, hypothermia,
decreased CO, PE, bronchospasm increased minute
‘vention, bad exhalation valve,