Normal capnogram. Phase I: At the start of exhalation, carbon dioxide concentration in the exhaled gas is essentially zero, representing gas from the anatomic dead space that does not participate in gas exchange. Phase II: As the anatomic dead space is exhaled, carbon dioxide concentration rises as alveolar gas exits the airway. Phase III: For most of exhalation, carbon dioxide concentration is constant and reflects the concentration of carbon dioxide in alveolar gas. Phase IV: During inhalation, carbon dioxide concentration decreases to zero as atmospheric air enters the airway. [Reproduced with permission from Krauss B, Hess DR: Capnography for procedural sedation and analgesia in the emergency department. Ann Emerg Med 50: 172, 2007 (Table 1, p. 176). Copyright Elsevier.] Source: Procedural Sedation in Adults, Tintinalli's Emergency Medicine: A Comprehensive Study Guide Citation: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. Tintinalli's Emergency Medicine: A Comprehensive Study Guide; 2011 Available at: http://mhmedical.com/ Accessed: July 31, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
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