PICO Question
Does the continuous use of capnography in ventilated patients in the Intensive Care Unit (ICU) help to decrease the number of days patients require ventilator support?
Continuous Capnography Monitoring in the Acutely Intubated ICU Patient
Mount Carmel Health
Nurse Residency, Cohort 4
Breanna Campbell RN, Cory Smith RN, Amber Weiskittle RN-BSN, Cindy Wolfe RN
Implementation for Practice
- Continuous Capnography on all mechanically ventilated patients
- Capnography initiation at time of intubation
- Necessary equipment present in all ICU rooms
References
Literature Review
- Carlisle, H. (2015). Promoting the Use of Capnography in Acute Care Settings: An Evidence-Based Practice Project. Journal Of Perianesthesia Nursing, 30(3), 201-208. doi:10.1016/j.jopan.2015.01.012
- Novais de Oliveira, P. M., & Moreira, M. M. (2015). Capnography: A Feasible Tool in Clinical and Experimental Settings. Respiratory Care, 60(11), 1711-1713. doi:10.4187/respcare.04504
- Rowan, C. M., Speicher, R. H., Hedlund, T., Ahmed, S. S., & Swigonski, N. L. (2015). Implementation of Continuous Capnography Is Associated With a Decreased Utilization of Blood Gases. Journal of Clinical Medicine Research, 7(2), 71–75. doi:10.14740/jocmr.1997w
- Walsh, B. K., Crotwell, D. N., & Restrepo, R. D. (2011). Capnography/Capnometry During Mechanical Ventilation: 2011. Respiratory Care, 56(4), 503-509. doi:10.4187/respcare.01175
- Provides continuous reading of patient ventilation status
- Detects change in pulmonary circulation as well as oxygen exchange sooner than pulse oximetry
- Decreases frequency of arterial blood gas (ABG) labwork
- Demonstrates patient readiness for extubation
- Confirms intubation and prevent life-threatening airway disasters
Thank You!
Evaluation of Implementation
- Provide education to staff
- Collaborate with other departments
- Implement policy for charting practices