Summary

Elevated CO2 levels are common among sleep lab patients, with research indicating that as many as 46% of pediatric patients with sleep-disordered breathing experience a nocturnal change in CO2 of more than 10 mmHg.1

Lisa DeGuzman, RRT-NPS, RPSGT, CCSH discusses the role of transcutaneous CO2 monitoring in the Nemours Children’s Hospital Pediatric Sleep Center, highlighting its applications in detecting and guiding the management of sleep-disordered breathing among the pediatric population. In this adapted version of her webinar, you can explore the key takeaways and gain insights from the Nemours sleep lab.

1. Pautrat, J., et al. Carbon Dioxide Levels During Polygraphy in Children with Sleep-Disordered Breathing. Sleep Breath. 2015.

Highlights

  • Benefits of leveraging respiratory therapists in the Nemours pediatric sleep lab, particularly when handling complex patients

  • Situations where the team at Nemours prefers transcutaneous CO<sub>2</sub> monitoring over end-tidal monitoring, including:

    • Patients on respiratory support
    • Mouth-breathers
    • Patients with nasal congestion or secretions
    • Children with sensory sensitivities
  • Protocols at Nemours that have integrated tcPCO2 monitoring
  • Case studies that demonstrate the role of transcutaneous CO2 monitoring in guiding overnight studies

Summary

Elevated CO2 levels are common among sleep lab patients, with research indicating that as many as 46% of pediatric patients with sleep-disordered breathing experience a nocturnal change in CO2 of more than 10 mmHg.¹

Lisa DeGuzman, RRT-NPS, RPSGT, CCSH discusses the role of transcutaneous CO2 monitoring in the Nemours Children’s Hospital Pediatric Sleep Center, highlighting its applications in detecting and guiding the management of sleep-disordered breathing among the pediatric population. In this adapted version of her webinar, you can explore the key takeaways and gain insights from the Nemours sleep lab.

Highlights

  • Benefits of leveraging respiratory therapists in the Nemours pediatric sleep lab, particularly when handling complex patients
  • Situations where the team at Nemours prefers transcutaneous CO2 monitoring over end-tidal monitoring, including:

    • Patients on respiratory support
    • Mouth-breathers
    • Patients with nasal congestion or secretions
    • Children with sensory sensitivities
  • Protocols at Nemours that have integrated tcPCO2 monitoring
  • Case studies that demonstrate the role of transcutaneous CO2 monitoring in guiding overnight studies

Meet the Author

Lisa DeGuzman, RRT-NPS, RPSGT, CCSH
Pediatric Sleep Center & Pulmonary Function Test (PFT) Lab Manager at Nemours Children’s Hospital in Orlando, Florida

With 37 years in healthcare, Lisa has devoted nearly her entire career to neonatal and pediatric medicine. She spent 15 years as a neonatal respiratory therapist at Arnold Palmer Hospital for Children and Women before moving to pediatric sleep medicine at Nemours Children’s Health. After nine years as a scoring technologist, she assumed a leadership role in 2014. Lisa and her team at Nemours are dedicated to providing sleep study services for a diverse pediatric population, handling everything from routine cases to complex ventilator titrations.

Other resources we think you’ll like

CO2 Monitoring in Patients with V/Q Mismatch 

This whitepaper explores how ventilation perfusion (V/Q) mismatch may cause inaccuracies in end-tidal CO2 readings, and why transcutaneous CO2 monitoring may be an alternative for your sleep lab to consider.

On-Demand CE Webinar: Noninvasive CO2 Monitoring in Sleep Diagnostics

Margie White, BS, RRT-NPS, discusses the role of CO2 monitoring in the sleep lab, the pros and cons of common CO2 monitoring methods, and the benefits of transcutaneous monitoring within this context. Earn credits through AARC and AAST.

Other resources we think you’ll like

CO2 Monitoring in Patients with V/Q Mismatch 

This whitepaper explores how ventilation perfusion (V/Q) mismatch may cause inaccuracies in end-tidal CO2 readings, and why transcutaneous CO2 monitoring may be an alternative for your sleep lab to consider.

On-Demand CE Webinar: Noninvasive CO2 Monitoring in Sleep Diagnostics

Margie White, BS, RRT-NPS, discusses the role of CO2 monitoring in the sleep lab, the pros and cons of common CO2 monitoring methods, and the benefits of transcutaneous monitoring within this context. Earn credits through AARC and AAST.

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