Attach Capnograph 1. Can You See CO2? NO

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Presentation transcript:

Attach Capnograph 1. Can You See CO2? NO BAD!! Check Patient Immediately Is there airway obstruction? Has airway device moved or become dislodged? Check pulse: has cardiac output fallen? YES GOOD. Continue Assessment SAFE Approach 1. Can you See CO2? 2. Appearance of the waveform? 3. Frequency of the waveform? 4. What is ETCO2 value? 2. Appearance of the Waveform: Good Bad Top Hat Indicates clear, unobstructed airway Dunce Hat Indicates: Partially obstructed airway Ascot Hat – OK Indicates: Bronchospasm : Slow expiration, may be slight obstruction No Hat – very bad! Indicates: Dislodged airway : No breathing : No cardiac output : (CO2 not attached) 3. Frequency Approximate Normal Respiratory Rate for Age; Newborn: 40-60 1 month: 30-50 3 month: 30-45 6 month: 25-35 1 year: 20-30 2 year: 20-28 4 year: 20-26 6 year: 18-24 8 year: 18-22 10-14 yr: 16-20 4. ETCO2 Value ‘Normal’ ETCO2 is approximately 4-6kPa. Remember! The capnograph is only one part of your assessment, and must be used in conjunction with clinical examination and other observations. If in any doubt about your patient, call for help early!