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Updated: Oct 7, 2025

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Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
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Carbon Dioxide Sensing-Biomedical Applications to Human Subjects
Emmanuel Dervieux1, Michaël Théron2, Wilfried Uhring3
1BiOSENCY, 1137a Avenue des Champs Blancs, 35510 Cesson-Sévigné, France.
Sensors (Basel, Switzerland)
|January 11, 2022
Summary
Continuous carbon dioxide (CO2) monitoring is vital in medicine. This review explores alternatives to current transcutaneous CO2 monitors, highlighting dye-based fluorescence sensing as a promising non-invasive option.
Area of Science:
- Medical Devices
- Biomedical Engineering
- Analytical Chemistry
Background:
- Transcutaneous carbon dioxide (CO2) monitoring is crucial for human subjects in medical practice.
- Current Stow-Severinghaus electrode-based monitors are expensive, bulky, and prone to drift, necessitating frequent recalibration.
Purpose of the Study:
- To thoroughly review existing CO2 measurement techniques.
- To identify potential alternatives for developing future non-invasive clinical CO2 monitors.
Main Methods:
- Comprehensive review of various CO2 sensing techniques.
- Analysis of physicochemical working principles, merit criteria, advantages, and drawbacks.
- Evaluation of clinical constraints and specificities of current monitoring methods.
Main Results:
- Existing transcutaneous CO2 monitors have significant limitations.
- Dye-based fluorescence CO2 sensing demonstrates potential for non-invasive monitoring.
Conclusions:
- Transcutaneous sensing combined with dye-based fluorescence CO2 sensing shows the most promise for future non-invasive clinical CO2 monitoring.
- This approach could overcome the limitations of current technologies.
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