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Capnography Erika A. Gibson, DVM Michigan State University Small Animal Clinical Sciences
What is capnography? ,[object Object],[object Object],Gravenstein, Paulus, Hayes  Capnograpy in Clinical Practice  © 1989
Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Physiology (continued) ,[object Object],[object Object],[object Object]
Types of Capnographs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Main-stream ,[object Object],[object Object],[object Object],[object Object]
Side-stream ,[object Object],[object Object],[object Object],[object Object]
Clinical Applications ,[object Object],[object Object],[object Object],[object Object]
Phases of the Capnogram Phase I  Expiration Represents anatomical dead space Phase II Expiration Mixture of anatomical and alveolar dead space Phase III Expiration Plateau of alveolar expiration Phase 0 Inspiration Rapid fall in CO 2  concentration Phase IV Exhalation Compromised  thoracic compliance
Waveform Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperventilation Progressively lower plateau (phase II) segment Baseline remains at zero Decreasing CO 2  levels
Hypoventilation ,[object Object],[object Object]
Spontaneous Ventilation ,[object Object],[object Object]
Cardiogenic Oscillations ,[object Object],[object Object]
Curare Cleft ,[object Object],[object Object],Represent patient attempts to breathe independent of mechanical ventilation
Inspiratory Valve Malfunction Increasing elevation of baseline Increasing elevation of Phase II Smaller waveform represents rebreathing of CO 2
Bronchospasm Airway Obstruction COPD Sloping of inspiratory and expiratory segments Prolonged Phase II and Phase III
Rebreathing of Soda Lime Contamination with CO 2 Elevation of Phase II segment and baseline Elevation of baseline and Phase II, smaller inspiratory efforts Progressive elevation of Phase II and baseline
Bain System Smaller wave form represents rebreathing of CO 2
Slow ventilation Incompetent inspiratory valve ,[object Object]
[object Object],[object Object]

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02 capnography

  • 1. Capnography Erika A. Gibson, DVM Michigan State University Small Animal Clinical Sciences
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  • 9. Phases of the Capnogram Phase I Expiration Represents anatomical dead space Phase II Expiration Mixture of anatomical and alveolar dead space Phase III Expiration Plateau of alveolar expiration Phase 0 Inspiration Rapid fall in CO 2 concentration Phase IV Exhalation Compromised thoracic compliance
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  • 11. Hyperventilation Progressively lower plateau (phase II) segment Baseline remains at zero Decreasing CO 2 levels
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  • 16. Inspiratory Valve Malfunction Increasing elevation of baseline Increasing elevation of Phase II Smaller waveform represents rebreathing of CO 2
  • 17. Bronchospasm Airway Obstruction COPD Sloping of inspiratory and expiratory segments Prolonged Phase II and Phase III
  • 18. Rebreathing of Soda Lime Contamination with CO 2 Elevation of Phase II segment and baseline Elevation of baseline and Phase II, smaller inspiratory efforts Progressive elevation of Phase II and baseline
  • 19. Bain System Smaller wave form represents rebreathing of CO 2
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