Capnography and Esophageal Pressure Monitoring in the ICU: Usefulness and Application

This is a two-part webinar series, both webinars are 1 hour in duration. The first webinar is on November 2nd and the second webinar is on December 7th.

Webinar 1 - Capnography

November 2nd, 2023 - 12pm-1pm Eastern Time/ 5pm-6pm Central European Time

Webinar 2 - Esophageal Pressure Monitoring

December 7, 2023 - 11am-12pm Eastern Time/ 5pm-6pm Central European Time

Capnography, the continuous analysis and recording of the concentration of CO2 in respiratory gas (1), is an integral part of monitoring for a ventilated patient (2). There are two types of capnographs: mainstream and sidestream (2).

Esophageal pressure monitoring (EPM) is a minimally invasive technique for estimating transpulmonary pressure (3). Transpulmonary pressure is a measure of lung stress (3).

In part one on November 2nd, Lluís Blanch M.D., PhD will discuss:

- The concepts and application of capnography for monitoring a ventilated patient

- Capnograph waveforms - CO2 as a function of time and volume, sidestream and mainstream capnography, volumetric capnography and its application in the ICU

- Ventilation and perfusion, measure of dead space and effect of PEEP

 

In part two on December 7th, Ewan Goligher M.D., PhD, FRCPC will discuss:

- The theory behind esophageal and transpulmonary pressure monitoring

- How to perform EPM in the ICU and the application of transpulmonary pressure monitoring for ventilated patients

Each program has been approved for 1.00 contact hour Continuing Respiratory Care Education (CRCE) credit by the American Association for Respiratory Care, 9425, N. MacArthur Blvd, Suite 100, Irving TX 75063

 

References:

1. Richardson M, Moulton K, Rabb D, et al. Capnography for Monitoring End-Tidal CO2 in Hospital and Pre-hospital Settings: A Health Technology Assessment [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2016 Mar. (CADTH Health Technology Assessment, No. 142.) 1, Introduction. Available from: https://www.ncbi.nlm.nih.gov/books/NBK362376/

2. D'Mello, J., & Butani, M. (2002). Capnography. Indian journal of anaesthesia, 46(4), 269-278.

3. Dostal P, Dostalova V. Practical Aspects of Esophageal Pressure Monitoring in Patients with Acute Respiratory Distress Syndrome. J Pers Med. 2023 Jan 10;13(1):136. doi: 10.3390/jpm13010136. PMID: 36675797; PMCID: PMC9867326.