SlideShare a Scribd company logo
The Use of Volumetric Capnography in Optimizing Mechanical Ventilation Donna Hamel, RRT, RCP, FAARC Pediatric Critical Care Medicine Duke Children’s Hospital Durham, N.C.
Introduction ,[object Object],[object Object],[object Object]
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
What is volumetric capnography? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is VCO 2 ,[object Object],[object Object],[object Object]
What is VCO 2 ,[object Object],[object Object],[object Object],[object Object]
SBCO 2  Waveform Expired CO 2 V T
SBCO 2  Waveform Expired CO 2 I V T Phase I = large airway ventilation
SBCO 2  Waveform Expired CO 2 I II V T Phase II  = mixed large airway and alveolar ventilation Phase I = large airway ventilation
SBCO 2  Waveform Expired CO 2 I II V T Phase II  = mixed large airway and alveolar ventilation Phase I  = large airway ventilation III Phase III  = exhaled volume of alveolar gas
Phases of SBCO 2  waveform ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical significance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phase 1 assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
↑  phase 1 ,[object Object],[object Object]
Phase 2 assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
   Phase 2 ,[object Object]
Phase 3 assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
↑  or absent phase 3 ,[object Object],[object Object]
Optimizing PEEP VCO 2  & SBCO 2 ,[object Object],[object Object],[object Object]
Slope 1: anatomic deadspace ,[object Object],[object Object],[object Object]
↑  Phase 1
Slope 2: pulmonary perfusion ,[object Object],[object Object],[object Object],[object Object]
Slope 2: pulmonary perfusion ,[object Object],[object Object],[object Object]
   Phase 2 Decreased Perfusion Baseline
Slope 3: gas distribution ,[object Object],[object Object],[object Object]
Mal-distribution of gas ,[object Object],[object Object],[object Object]
↑ Phase 3 CO 2 Exhaled Volume increased phase 3
PEEP determination ,[object Object],[object Object],[object Object],[object Object],[object Object]
PEEP determination ,[object Object],[object Object],[object Object]
What is volumetric capnography? ,[object Object],[object Object],[object Object]
Why VCO 2 ? ,[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object]
Thank You!

More Related Content

What's hot

Basic Mechanical Ventilation
Basic Mechanical VentilationBasic Mechanical Ventilation
Basic Mechanical VentilationAndrew Ferguson
 
Laxman lung diffusion-capacity
Laxman lung diffusion-capacityLaxman lung diffusion-capacity
Laxman lung diffusion-capacitysonilaxman
 
Pneumology - Lung volumes-airway-resistance
Pneumology - Lung volumes-airway-resistancePneumology - Lung volumes-airway-resistance
Pneumology - Lung volumes-airway-resistance
Ammedicine Medicine
 
Role of flow volume loops in cpet
Role of flow volume loops in cpetRole of flow volume loops in cpet
Role of flow volume loops in cpet
gagsol
 
Mechanical Ventilation
Mechanical VentilationMechanical Ventilation
Mechanical Ventilation
Abdul Hamid Alraiyes
 
Dual modes ventilation for neonates
Dual modes ventilation for neonatesDual modes ventilation for neonates
Dual modes ventilation for neonates
Maher AlQuaimi
 
Acid base (A.B.G)
Acid base (A.B.G)Acid base (A.B.G)
Acid base (A.B.G)
Manu Jacob
 
Pulmonary sequastration evaluation and management
Pulmonary sequastration  evaluation and managementPulmonary sequastration  evaluation and management
Pulmonary sequastration evaluation and management
Magdy Shafik M. Ramadan
 
Mechanical ventilation wave forms
Mechanical ventilation wave formsMechanical ventilation wave forms
Mechanical ventilation wave forms
Sintayehu Asrat
 
mechanical ventilation Weaning predictors
mechanical ventilation Weaning predictorsmechanical ventilation Weaning predictors
mechanical ventilation Weaning predictors
Sintayehu Asrat
 
Lung Protective Ventilation
Lung Protective Ventilation Lung Protective Ventilation
Lung Protective Ventilation
Dr. S.K. Varma
 
APRV
APRVAPRV
APRV
ceswyn
 
Arterial Blood Gas Interpretation
Arterial Blood Gas InterpretationArterial Blood Gas Interpretation
Arterial Blood Gas Interpretation
Tauhid Iqbali
 
Interstitial lung disease final
Interstitial lung disease finalInterstitial lung disease final
Interstitial lung disease final
Shivaom Chaurasia
 
Ventilation and perfusion
Ventilation and perfusionVentilation and perfusion
Ventilation and perfusion
Pawan Gupta
 
Pneumology - Ventilation perfusion-ratio-and-clinical-importance
Pneumology - Ventilation perfusion-ratio-and-clinical-importancePneumology - Ventilation perfusion-ratio-and-clinical-importance
Pneumology - Ventilation perfusion-ratio-and-clinical-importance
Ammedicine Medicine
 
Sudanese chest sonography workshop (Lung ultrasound)
Sudanese chest sonography workshop (Lung ultrasound)Sudanese chest sonography workshop (Lung ultrasound)
Sudanese chest sonography workshop (Lung ultrasound)Gamal Agmy
 
Ventilator for surgeons - Dr Apoorv Shastri
Ventilator for surgeons - Dr Apoorv ShastriVentilator for surgeons - Dr Apoorv Shastri
Ventilator for surgeons - Dr Apoorv Shastri
Apoorv Shastri
 

What's hot (20)

Basic Mechanical Ventilation
Basic Mechanical VentilationBasic Mechanical Ventilation
Basic Mechanical Ventilation
 
Laxman lung diffusion-capacity
Laxman lung diffusion-capacityLaxman lung diffusion-capacity
Laxman lung diffusion-capacity
 
Pneumology - Lung volumes-airway-resistance
Pneumology - Lung volumes-airway-resistancePneumology - Lung volumes-airway-resistance
Pneumology - Lung volumes-airway-resistance
 
Role of flow volume loops in cpet
Role of flow volume loops in cpetRole of flow volume loops in cpet
Role of flow volume loops in cpet
 
Mechanical Ventilation
Mechanical VentilationMechanical Ventilation
Mechanical Ventilation
 
Dual modes ventilation for neonates
Dual modes ventilation for neonatesDual modes ventilation for neonates
Dual modes ventilation for neonates
 
Acid base (A.B.G)
Acid base (A.B.G)Acid base (A.B.G)
Acid base (A.B.G)
 
Pulmonary sequastration evaluation and management
Pulmonary sequastration  evaluation and managementPulmonary sequastration  evaluation and management
Pulmonary sequastration evaluation and management
 
Mechanical ventilation wave forms
Mechanical ventilation wave formsMechanical ventilation wave forms
Mechanical ventilation wave forms
 
mechanical ventilation Weaning predictors
mechanical ventilation Weaning predictorsmechanical ventilation Weaning predictors
mechanical ventilation Weaning predictors
 
Lung Protective Ventilation
Lung Protective Ventilation Lung Protective Ventilation
Lung Protective Ventilation
 
Kottayam apcc2013
Kottayam apcc2013Kottayam apcc2013
Kottayam apcc2013
 
APRV
APRVAPRV
APRV
 
Arterial Blood Gas Interpretation
Arterial Blood Gas InterpretationArterial Blood Gas Interpretation
Arterial Blood Gas Interpretation
 
Interstitial lung disease final
Interstitial lung disease finalInterstitial lung disease final
Interstitial lung disease final
 
Ventilation and perfusion
Ventilation and perfusionVentilation and perfusion
Ventilation and perfusion
 
Pneumology - Ventilation perfusion-ratio-and-clinical-importance
Pneumology - Ventilation perfusion-ratio-and-clinical-importancePneumology - Ventilation perfusion-ratio-and-clinical-importance
Pneumology - Ventilation perfusion-ratio-and-clinical-importance
 
Sudanese chest sonography workshop (Lung ultrasound)
Sudanese chest sonography workshop (Lung ultrasound)Sudanese chest sonography workshop (Lung ultrasound)
Sudanese chest sonography workshop (Lung ultrasound)
 
Philips Technologies by Olu Albert
Philips Technologies by Olu AlbertPhilips Technologies by Olu Albert
Philips Technologies by Olu Albert
 
Ventilator for surgeons - Dr Apoorv Shastri
Ventilator for surgeons - Dr Apoorv ShastriVentilator for surgeons - Dr Apoorv Shastri
Ventilator for surgeons - Dr Apoorv Shastri
 

Similar to 04 capnography hamel

15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introductionDang Thanh Tuan
 
Volumetric-Capnography-ebook-en-ELO20151002N.00.pptx
Volumetric-Capnography-ebook-en-ELO20151002N.00.pptxVolumetric-Capnography-ebook-en-ELO20151002N.00.pptx
Volumetric-Capnography-ebook-en-ELO20151002N.00.pptx
pccmdoc
 
Respiration powerpoint
Respiration powerpointRespiration powerpoint
Respiration powerpointMissReith
 
Ventilator Graphics
Ventilator GraphicsVentilator Graphics
Ventilator Graphics
Smruti Patanaik
 
Capnography
CapnographyCapnography
Capnography
aberetilahun
 
acute respiratory distress syndrome
acute respiratory distress syndromeacute respiratory distress syndrome
acute respiratory distress syndrome
Soutrik SeTh
 
Capnography in emergency room
Capnography in emergency roomCapnography in emergency room
Capnography in emergency room
Dr.Venugopalan Poovathum Parambil
 
Respiratory Physiology & Respiratory Function During Anesthesia
Respiratory Physiology & Respiratory Function During AnesthesiaRespiratory Physiology & Respiratory Function During Anesthesia
Respiratory Physiology & Respiratory Function During AnesthesiaDang Thanh Tuan
 
Respiratory Physiology & Respiratory Function During Anesthesia
Respiratory Physiology & Respiratory Function During AnesthesiaRespiratory Physiology & Respiratory Function During Anesthesia
Respiratory Physiology & Respiratory Function During AnesthesiaDang Thanh Tuan
 
Arterial Blood Gases Interpretation
Arterial Blood Gases InterpretationArterial Blood Gases Interpretation
Arterial Blood Gases InterpretationDang Thanh Tuan
 
1578623596886_Respiratory Physio.ppt ccm
1578623596886_Respiratory Physio.ppt ccm1578623596886_Respiratory Physio.ppt ccm
1578623596886_Respiratory Physio.ppt ccm
NishanthTR
 
respiratoryphysiologyrespiratoryfunctionduringanesthesia-100330220403-phpapp0...
respiratoryphysiologyrespiratoryfunctionduringanesthesia-100330220403-phpapp0...respiratoryphysiologyrespiratoryfunctionduringanesthesia-100330220403-phpapp0...
respiratoryphysiologyrespiratoryfunctionduringanesthesia-100330220403-phpapp0...
NarendraSingh524
 
PFT JJDWIJDWJWDIJIWDJIWJDIWJIDJIWJIDIWJIDJWIJD
PFT JJDWIJDWJWDIJIWDJIWJDIWJIDJIWJIDIWJIDJWIJDPFT JJDWIJDWJWDIJIWDJIWJDIWJIDJIWJIDIWJIDJWIJD
PFT JJDWIJDWJWDIJIWDJIWJDIWJIDJIWJIDIWJIDJWIJD
SrijjanChauhan
 
Capnography
CapnographyCapnography
Capnography
larryide
 

Similar to 04 capnography hamel (20)

03 capnography
03 capnography03 capnography
03 capnography
 
02 capnography
02 capnography02 capnography
02 capnography
 
15 capnography part2 introduction
15 capnography part2 introduction15 capnography part2 introduction
15 capnography part2 introduction
 
Volumetric-Capnography-ebook-en-ELO20151002N.00.pptx
Volumetric-Capnography-ebook-en-ELO20151002N.00.pptxVolumetric-Capnography-ebook-en-ELO20151002N.00.pptx
Volumetric-Capnography-ebook-en-ELO20151002N.00.pptx
 
11 capnography
11 capnography11 capnography
11 capnography
 
267 sq memoria
267 sq memoria267 sq memoria
267 sq memoria
 
Respiration powerpoint
Respiration powerpointRespiration powerpoint
Respiration powerpoint
 
Ventilator Graphics
Ventilator GraphicsVentilator Graphics
Ventilator Graphics
 
Capnography
CapnographyCapnography
Capnography
 
acute respiratory distress syndrome
acute respiratory distress syndromeacute respiratory distress syndrome
acute respiratory distress syndrome
 
ABG Interpretation
ABG InterpretationABG Interpretation
ABG Interpretation
 
Capnography in emergency room
Capnography in emergency roomCapnography in emergency room
Capnography in emergency room
 
Respiratory Physiology & Respiratory Function During Anesthesia
Respiratory Physiology & Respiratory Function During AnesthesiaRespiratory Physiology & Respiratory Function During Anesthesia
Respiratory Physiology & Respiratory Function During Anesthesia
 
Respiratory Physiology & Respiratory Function During Anesthesia
Respiratory Physiology & Respiratory Function During AnesthesiaRespiratory Physiology & Respiratory Function During Anesthesia
Respiratory Physiology & Respiratory Function During Anesthesia
 
Arterial Blood Gases Interpretation
Arterial Blood Gases InterpretationArterial Blood Gases Interpretation
Arterial Blood Gases Interpretation
 
1578623596886_Respiratory Physio.ppt ccm
1578623596886_Respiratory Physio.ppt ccm1578623596886_Respiratory Physio.ppt ccm
1578623596886_Respiratory Physio.ppt ccm
 
respiratoryphysiologyrespiratoryfunctionduringanesthesia-100330220403-phpapp0...
respiratoryphysiologyrespiratoryfunctionduringanesthesia-100330220403-phpapp0...respiratoryphysiologyrespiratoryfunctionduringanesthesia-100330220403-phpapp0...
respiratoryphysiologyrespiratoryfunctionduringanesthesia-100330220403-phpapp0...
 
PFT JJDWIJDWJWDIJIWDJIWJDIWJIDJIWJIDIWJIDJWIJD
PFT JJDWIJDWJWDIJIWDJIWJDIWJIDJIWJIDIWJIDJWIJDPFT JJDWIJDWJWDIJIWDJIWJDIWJIDJIWJIDIWJIDJWIJD
PFT JJDWIJDWJWDIJIWDJIWJDIWJIDJIWJIDIWJIDJWIJD
 
05 Ab Ginterpretation
05 Ab Ginterpretation05 Ab Ginterpretation
05 Ab Ginterpretation
 
Capnography
CapnographyCapnography
Capnography
 

More from Dang Thanh Tuan

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vnDang Thanh Tuan
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vnDang Thanh Tuan
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vnDang Thanh Tuan
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vnDang Thanh Tuan
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vnDang Thanh Tuan
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vnDang Thanh Tuan
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vnDang Thanh Tuan
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vnDang Thanh Tuan
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vnDang Thanh Tuan
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedationDang Thanh Tuan
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsDang Thanh Tuan
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and managementDang Thanh Tuan
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubatedDang Thanh Tuan
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubatedDang Thanh Tuan
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overviewDang Thanh Tuan
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnographyDang Thanh Tuan
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphyDang Thanh Tuan
 
09 pre hospital capnography
09 pre hospital capnography09 pre hospital capnography
09 pre hospital capnographyDang Thanh Tuan
 

More from Dang Thanh Tuan (20)

Sutherland chi dinh thuc hien crrt-vn
Sutherland   chi dinh thuc hien crrt-vnSutherland   chi dinh thuc hien crrt-vn
Sutherland chi dinh thuc hien crrt-vn
 
Smoyer dialysis va dich thay the crrt-vn
Smoyer   dialysis va dich thay the crrt-vnSmoyer   dialysis va dich thay the crrt-vn
Smoyer dialysis va dich thay the crrt-vn
 
Skippen chong dong crrt-vn
Skippen   chong dong crrt-vnSkippen   chong dong crrt-vn
Skippen chong dong crrt-vn
 
Internet tiep can mach mau crrt-vn
Internet   tiep can mach mau crrt-vnInternet   tiep can mach mau crrt-vn
Internet tiep can mach mau crrt-vn
 
Internet mang loc va dich loc crrt-vn
Internet   mang loc va dich loc crrt-vnInternet   mang loc va dich loc crrt-vn
Internet mang loc va dich loc crrt-vn
 
Internet dieu tri thay the than crrt-vn
Internet   dieu tri thay the than crrt-vnInternet   dieu tri thay the than crrt-vn
Internet dieu tri thay the than crrt-vn
 
Internet cac phuong thuc dieu tri thay the than crrt-vn
Internet   cac phuong thuc dieu tri thay the than crrt-vnInternet   cac phuong thuc dieu tri thay the than crrt-vn
Internet cac phuong thuc dieu tri thay the than crrt-vn
 
Goldstein crrt tre em - chi dinh - crrt-vn
Goldstein   crrt tre em - chi dinh - crrt-vnGoldstein   crrt tre em - chi dinh - crrt-vn
Goldstein crrt tre em - chi dinh - crrt-vn
 
Gambro dieu tri thay the than lien tuc crrt-vn
Gambro   dieu tri thay the than lien tuc crrt-vnGambro   dieu tri thay the than lien tuc crrt-vn
Gambro dieu tri thay the than lien tuc crrt-vn
 
07 capnography trends in procedural sedation
07 capnography trends in procedural sedation07 capnography trends in procedural sedation
07 capnography trends in procedural sedation
 
The evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilatorsThe evolution of pediatric mechanical ventilators
The evolution of pediatric mechanical ventilators
 
20 patient monitoring
20 patient monitoring20 patient monitoring
20 patient monitoring
 
18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management18 basics of pediatric airway anatomy, physiology and management
18 basics of pediatric airway anatomy, physiology and management
 
17 capnography part4 non-intubated
17 capnography part4 non-intubated17 capnography part4 non-intubated
17 capnography part4 non-intubated
 
16 capnography part3 intubated
16 capnography part3 intubated16 capnography part3 intubated
16 capnography part3 intubated
 
14 capnography part1 overview
14 capnography part1 overview14 capnography part1 overview
14 capnography part1 overview
 
13 icu monitoring standards and capnography
13 icu monitoring standards and capnography13 icu monitoring standards and capnography
13 icu monitoring standards and capnography
 
12 mainstream sidestream capnpgraphy
12 mainstream   sidestream capnpgraphy12 mainstream   sidestream capnpgraphy
12 mainstream sidestream capnpgraphy
 
10 gas analysis
10 gas analysis10 gas analysis
10 gas analysis
 
09 pre hospital capnography
09 pre hospital capnography09 pre hospital capnography
09 pre hospital capnography
 

Recently uploaded

Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
BrissaOrtiz3
 
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in DehradunDehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
chandankumarsmartiso
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Swetaba Besh
 
Vision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of opticsVision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of optics
Sai Sailesh Kumar Goothy
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Oleg Kshivets
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Ayurveda ForAll
 
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of HyperthyroidismRole of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
Dr. Jyothirmai Paindla
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptxPharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.GawadHemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
NephroTube - Dr.Gawad
 
Pictures of Superficial & Deep Fascia.ppt.pdf
Pictures of Superficial & Deep Fascia.ppt.pdfPictures of Superficial & Deep Fascia.ppt.pdf
Pictures of Superficial & Deep Fascia.ppt.pdf
Dr. Rabia Inam Gandapore
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
ShashankRoodkee
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Dr. Madduru Muni Haritha
 
Knee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdfKnee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdf
vimalpl1234
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
Dr. Jyothirmai Paindla
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 

Recently uploaded (20)

Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
 
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in DehradunDehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
 
Vision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of opticsVision-1.pptx, Eye structure, basics of optics
Vision-1.pptx, Eye structure, basics of optics
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
 
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptxThyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
 
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of HyperthyroidismRole of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
 
basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptxPharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
Pharynx and Clinical Correlations BY Dr.Rabia Inam Gandapore.pptx
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
 
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.GawadHemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
 
Pictures of Superficial & Deep Fascia.ppt.pdf
Pictures of Superficial & Deep Fascia.ppt.pdfPictures of Superficial & Deep Fascia.ppt.pdf
Pictures of Superficial & Deep Fascia.ppt.pdf
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
 
Knee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdfKnee anatomy and clinical tests 2024.pdf
Knee anatomy and clinical tests 2024.pdf
 
Journal Article Review on Rasamanikya
Journal Article Review on RasamanikyaJournal Article Review on Rasamanikya
Journal Article Review on Rasamanikya
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 

04 capnography hamel

  • 1. The Use of Volumetric Capnography in Optimizing Mechanical Ventilation Donna Hamel, RRT, RCP, FAARC Pediatric Critical Care Medicine Duke Children’s Hospital Durham, N.C.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. SBCO 2 Waveform Expired CO 2 V T
  • 8. SBCO 2 Waveform Expired CO 2 I V T Phase I = large airway ventilation
  • 9. SBCO 2 Waveform Expired CO 2 I II V T Phase II = mixed large airway and alveolar ventilation Phase I = large airway ventilation
  • 10. SBCO 2 Waveform Expired CO 2 I II V T Phase II = mixed large airway and alveolar ventilation Phase I = large airway ventilation III Phase III = exhaled volume of alveolar gas
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 22.
  • 23.
  • 24. Phase 2 Decreased Perfusion Baseline
  • 25.
  • 26.
  • 27. ↑ Phase 3 CO 2 Exhaled Volume increased phase 3
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.