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Can ETCO2 Help Detect Sepsis? Before you wait on a lactate, or start fluid boluses based on a gut feeling, there’s a tool right under your nose that can help you detect sepsis earlier and more accurately, your ETCO2 monitor. The Physiology of ETCO2 in Sepsis ETCO2 reflects cardiac output, ventilation, and metabolism. In sepsis, especially as shock begins to develop, perfusion drops. Less blood reaches the lungs, less CO₂ gets delivered to the alveoli, ETCO2 falls, even though the patient is brea
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EtCO2 is an easy, non-invasive technology that can be used in most patients! When the PaCO2 & EtCO2 correlate, the EtCO2 is super helpful & can be used as a marker of ventilation. When your patient is having perfusion issues such as decreased CO, hypotension or a PE, the EtCO2 will often decrease. In that case you can monitor & trend the severity of V/Q mismatch to understand if your interventions are working! My ABCs of ABGs & Capnography course has 2 modules dedicated to Capnography with case
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