Cite this post as:
Scott Weingart, MD FCCM. Stand-alone ETCO2 Monitors. EMCrit Blog. Published on July 12, 2012. Accessed on October 5th 2024. Available at [https://emcrit.org/emcrit/stand-alone-etco2-monitors/ ].
Financial Disclosures:
The course director, Dr. Scott D. Weingart MD FCCM, reports no relevant financial relationships with ineligible companies. This episode’s speaker(s) report no relevant financial relationships with ineligible companies unless listed above.
CME Review
Original Release: July 12, 2012
Date of Most Recent Review: Jul 1, 2024
Termination Date: Jul 1, 2027
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Wouldn’t want to miss it… Price could be even a bit higher though depending where you look.
We use the Oridion Plus with the Filterline tubing (ETT and nasal) monitors in our prehospital HEMS and ALS ground units. Sadly lots of receiving EDs still don’t use it (my wife’s, also emergency doctor, is the only ED in the vicinity which regularly use).
Still have to see the model fail, even though I strongly recommend the rubber casing!!! At least prehospital…
Du Canto has one and I am considering buying one too. EMMA Capnometer
http://www.phasein.com/Products/EMMA-Capnometer/EmmaNews/60-grams-capnometer-for-the-field1/
Its not waveform but works and is about $1000 AU
The NelLcor units are pretty cool as standalone waveform capnometers.
But Seth is into health policy , right? His next project is to lobby his ED to get waveform monitors or turn on the function of their current monitors!
I would definitely want waveform if at all possible. The EMMA seems like it would inevitably be “misplaced” if it showed up in our ED.
working on it!
Work in veterinary critical care, and we recently got to try out the handheld NelCor CO2/SpO2 monitor and so far everybody loveloveloves it. It displays waveform and/or just the numbers. Patient variations: Where I work, we see a wide variety of patient sizes, from 65kg, and the monitor handles the range well, especially given that it only has two adapters– pediatric or adult. Portability: We’ll take it along for patient transports, and it handles being in a moving vehicle well enough. The ETCO2 piece works just fine. SPO2 has trouble, but that seems to be a function of how dogs/cats… Read more »
That should say “from less than 1kg to more than 65kg”
Take a look at the Respironics Tidal Wave 610–it also contains a pulse ox probe. With an ECG monitor and a manual BP cuff, you could round out your prehospital monitor stuff with this thing alone. Yes, I have one too, and it’s cool. The EMMA is awesome, as Minh suggested. I used one in a cardiac arrest in one of our suburban ED’s, and I detected ROSC through capnography on the EMMA immediately before we found a pulse. Then, on the same patient, I detected cardiac arrest (again) via capnography on the EMMA. Seth, if you must have an… Read more »
http://www.dremed.com/catalog/product_info.php/products_id/512
Used Respironics Tidal Wave.
I have personal experience with the BCI Smiths Capnocheck and the Oridion Microstream. The Capnocheck is not a great unit in my opinion, primarily because of the adjuncts used with the monitor and the fact the gas sample tubing falls out of the monitor CONSTANTLY. It is a ‘slip’ connection, there is no leur lock to secure the patient circuit into the monitor. We use this in the HEMS prehospital setting, and after moving a critical field RSI patient, I look down at the monitor and…no waveform, which at first glance makes one wonder if the ETT was dislodged in… Read more »
Jason–that is EXACTLY the kind of real-world feedback you rarely get until you have already wasted $1000’s of dollars on a product chosen from a catalog. Thank you!
Folks………use the Spo2 and Etco2 off the lp-15 daily both ET and nasal. Really trying to push my team here to regularly use the nasal ETc02 and learn the wave forms and numbers for a wide subset of patients. Had success in our bradypnea patients i.e.: OD patients it’s great when you titrating Narcan to improve ETc02 numbers but keeping the patient from waking up and trashing the crew and back of the EMS unit. I do have a question……..have heard that the numbers we get off the LP-15 and real blood gas numbers can be off as far as… Read more »
In sick patients, the only reliable relationship between PaCO2 and ETCO2 is that the PaCO2 will be at least as high as the ET. Everything else is variable depending on perfusion/CO.
Thanks for all the input!