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A prospective, observational study investigating the level of agreement between transcutaneous and invasive carbon dioxide measurements in critically ill emergency department patients

Not Applicable
Completed
Conditions
Critical illness
Emergency medicine - Resuscitation
Registration Number
ACTRN12619001431112
Lead Sponsor
South Western Sydney Local Health District
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
42
Inclusion Criteria

Emergency department patient
Patient requiring hospital admission
Adult > 18 years of age
Arterial catheter required for ongoing care

Exclusion Criteria

Children (<18 years)
Patients not requiring arterial line

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Transcutaneous Carbon Dioxide reading at the specified timepoints measured by a skin detector clipped to the earlobe of the patient using the Sentec Digital Monitor System.[0mins, 30mins, 60mins and 90mins post enrolment.];Arterial Carbon Dioxide reading at the specified timepoints, obtained on a sample taken from an arterial catheter (as part of standard care) and measured using a Radiometer ABL800 blood gas analyser.[0mins, 30mins, 60mins and 90mins post enrolment.]
Secondary Outcome Measures
NameTimeMethod
Presence of haemodynamic instability based on clinical examination (defined as systolic blood pressure below 90mmHg, Mean Arterial Blood Pressure below 60mmHg, or requirement for vasopressor support).[Once diagnosis becomes apparent, recorded at the time of assessment and treatment between 0mins and 90mins post enrolment.];Diagnosis of exacerbation of chronic obstructive pulmonary disease, based on bedside clinical assessment.[Once diagnosis becomes apparent, recorded at the time of assessment and treatment between 0mins and 90mins post enrolment.]
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