Continuous EtCO2 Monitoring in Acute Self Poisoned Patients Admitted in an Emergency Department
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- ROC curve of maximal EtCO2 to predict poisoning complication
研究概览
简要总结
There is no consensus on monitoring criteria in acute self poisoning. Clinical scores, vital signs or lactatemia have failed to prove good predictive value.
The main acute self poisoning complication is decreased consciousness level with consequent increased risk of hypoxemia and aspiration pneumonitis.
Several clinical studies have recently shown that EtCO2 monitoring can be valuable in procedural sedation in the emergency department. It is able to predict hypoxemia before any SaO2 decrease and any complications related to these procedures.
We therefore hypothesized that EtCO2 could help in acute self poisoning patients' monitoring in the ED.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •acute self poisoning patients
- •patients requiring monitoring according to physician's opinion
- •patients not requiring invasive ventilation at ED admission
排除标准
- •Pregnant woman
- •patients deprived of liberty
结局指标
主要结局
ROC curve of maximal EtCO2 to predict poisoning complication
时间窗: During the first 2 hours of ED admission
Poisoning complications are defined as: Hypoxia (Spo2\<93%) and/or Respiratory rate \<10/min or \>25/min and/or ICU admission and/or Oro tracheal intubation
次要结局
未报告次要终点