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Accuracy and precision of transcutaneous carbon dioxide monitoring: A systematic review and meta-analysis

Thorax Sep 18, 2018

Conway A, et al. - In this review, researchers tested transcutaneous carbon dioxide (TcCO2) measurements (a non-invasive alternative to arterial blood sampling) for accuracy and precision. For 7,021 paired measurements taken from 2,817 participants in 73 studies, the reported mean bias was −0.1 mm Hg and the population limits of agreement were −15 to 15 mm Hg. As reported in the studies, 18 mm Hg and 103 mm Hg were the lowest and the highest PaCO2, respectively. Sensor location and temperature were identified as the major sources of inconsistency. Based on the context in which the technology was used, substantial differences between TcCO2 and PaCO2 were reported in the studies. Based on the findings, they recommended to preferentially apply TcCO2 sensors to the earlobe. They also suggested that, when monitoring at other sites, users set the temperature of the sensor higher than 42°C.

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