Errors in Capnography
Because water vapor is often the major source of error, several
"water trap" devices or heated suction tubes are used to deliver moisture-free gas
to the reading cell. The effect of gas temperature can be calculated. Assume body
temperature is 37°C and PaCO2
= PETCO2
= 40 mm Hg. If the sampling tube and detector are maintained at a temperature above
37°C, there will be no condensation or "rain out" of water, and the measured
PCO2
will be 40 mm Hg. However, if the
expired gas is allowed to cool to room temperature (e.g., 20°C), water will condense
in the tubing, and the new water vapor pressure (PH2
O)
will decrease to the saturated PH2
O
at room temperature (typically 20 mm Hg). If a drying agent is used in the sample
line, PH2
O
will drop to zero. In either case, the measured PCO2
will increase slightly.