Abstract
Bhende and Thompson's article in Pediatrics (1995;95:395-399) showed problems associated with the use of capnometry for initial control of tube position in cardiac arrest. They found a failure to detect carbon dioxide (CO2) in six of 39 patients with correct tracheal tube position.1 This is similar to their earlier publication with a failure in two of 17 cardiac arrest patients with tracheally placed tubes.2 We found a 13% incidence of failure to detect CO2 with the EASYCAP (Nellcor, Hayward, CA) in cardiac arrest despite tracheal intubation in pooled data.3
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