Emergency Medicine: Open Access
Open Access

Suresh Dhital

Publications

• Research Article
  A Scoring System for Prediction and Risk Stratification of CO2 Narcosis
  Author(s): Chang Yang, Jing Xi , Sadaf Sheikh , Anoushiravan Hakim , Soumya Nadella, Suresh Dhital , Margaret Meier, Onyema Nnanna and David MeyersChang Yang, Jing Xi , Sadaf Sheikh , Anoushiravan Hakim , Soumya Nadella, Suresh Dhital , Margaret Meier, Onyema Nnanna and David Meyers
  
  Background: CO2 narcosis, often induced by injudicious use of oxygen and opioids, may result in ICU admission, intubation and additional costs. The development is insidious. Currently, there is no method for early detection.Methods: A retrospective cohort study of patients with hypercapnia admitted between June 2013 and June 2016 to a single hospital was performed. Presence of pre-defined CO2 narcosis was determined on chart review by agreement of two reviewers. Patients were divided into derivation and validation groups, and a scoring system for prediction of CO2 narcosis was developed and verified.Results: 607 patients with significant hypercapnia (PaCO2>50 mmHg) were identified, and 188 were determined to have CO2 narcosis. Initial serum bicarbonate, use of suppl.. View More»
  DOI: 10.4172/2165-7548.1000368

  Abstract PDF

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