capnography : monitoring of the concentration
of exhaled CO2 in order to assess the physiologic status of
patients with acute respiratory problems or who are receiving mechanical
ventilation and to determine the adequacy of ventilation in anesthetized
patients.
capnograph : a system for monitoring the concentration of exhaled
CO2, consisting of a sensor placed in the breathing circuit
or a tube that carries part of the exhaled gases to the analyzing device,
a mass spectrometer or an infrared spectrometer, and devices to provide
continuous visual (cathode ray tube) and graphic (printer) displays.
=> capnogram : a real-time waveform record of the concentration
of CO2 in the respiratory gases.
A : CO2 cleared from the anatomic dead space;
B : dead space and alveolar CO2
C : alveolar plateau
D : end-tidal CO2 tension (PETCO2)
urinehas to be collected after > 3 hrs
without urinating and after perineal washing without soap. The first 100÷150
mL are not collected (required for urethral clearing) : only the following
10 mL are collected in a sterile recipient and eventually frozen before
forwarding to laboratory.
stools are collected into a non-necessarily
sterile recipient.
nasopharyngeal or oropharyngeal
exudate. Collection is made by a synthetic (non-cottoned !) tampon
introduced through nose or mouth respectively after 2 hrs without food
: contacts with tongue and cheeks must be avoided. 2 samples are usually
collected.
sputum.When sputum is not collectable
(30%), mucus collection can be stimulated by administration of saline solutions
(risk of contaminations) or made by invasive
methods.