OBJECTIVES: To determine the optimal clinical reading time for the transcutaneous measurement of oxygen saturation (SpO
) and transcutaneous CO
2 (TcPCO
2) in awake spontaneously breathing individuals, considering the overshoot phenomenon (transient overestimation of arterial PaCO
2).
EXPERIMENTAL SECTION: Observational
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OBJECTIVES: To determine the optimal clinical reading time for the transcutaneous measurement of oxygen saturation (SpO
) and transcutaneous CO
2 (TcPCO
2) in awake spontaneously breathing individuals, considering the overshoot phenomenon (transient overestimation of arterial PaCO
2).
EXPERIMENTAL SECTION: Observational study of 91 (75 men) individuals undergoing forced spirometry, measurement of SpO
2 and TcPCO
2 with the SenTec monitor every two minutes until minute 20 and arterial blood gas (ABG) analysis. Overshoot severity: (a) mild (0.1–1.9 mm Hg); (b) moderate (2–4.9 mm Hg); (c) severe: (>5 mm Hg). The mean difference was calculated for SpO
2 and TcPCO
2 and arterial values of PaCO
2 and SpO
2. The intraclass correlation coefficient (ICC) between monitor readings and blood values was calculated as a measure of agreement.
RESULTS: The mean age was 63.1 ± 11.8 years. Spirometric values: FVC: 75.4 ± 6.2%; FEV1: 72.9 ± 23.9%; FEV1/FVC: 70 ± 15.5%. ABG: PaO
2: 82.6 ± 13.2; PaCO2: 39.9.1 ± 4.8 mmHg; SaO
2: 95.3 ± 4.4%. Overshoot analysis: overshoot was mild in 33 (36.3%) patients, moderate in 20 (22%) and severe in nine (10%); no overshoot was observed in 29 (31%) patients. The lowest mean differences between arterial blood gas and TcPCO
2 was –0.57 mmHg at minute 10, although the highest ICC was obtained at minutes 12 and 14 (>0.8). The overshoot lost its influence after minute 12. For SpO
2, measurements were reliable at minute 2. CONCLUSIONS: The optimal clinical reading measurement recommended for the ear lobe TcPCO
2 measurement ranges between minute 12 and 14. The SpO
2 measurement can be performed at minute 2.
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