Physics of capnography 

Bhavani Shankar Kodali MD

Factors affecting IR Spectrography

Effect of Nitrous Oxide

Nitrous oxide absorbs IR light.

 

 

Absorption is minimal at IR 4.3 µ m

 

 

 

Collision Broadening Phenomenon

 

Effect of N2O on CO2 measurements

Use of 4.3 µ m IR light does not affect CO2 measurements.
Collision broadening phenomena does increase CO2 values.

 

Correction factors for the presence of nitrous oxide.

Percent Nitrous oxide Corrected reading =
70 % Observed PCO2 x 0.90
50% Observed PCO2 x 0.94

Because nitrous oxide absorbs IR (IR absorption spectra of N20 = 4.5 µm whereas C02 = 4.3 µm), the presence of N20 therefore can give falsely high C02 readings. This problem can be eliminated by using a narrow band IR filter that only transmits the  the wavelength most strongly absorbed by C02 (about 4.3 µm). Another problem relates to  N2O concerns the  interaction between  N20 molecules and C02 molecules.  This  produces a "collision broadening effect" that affects the sensitivity of the IR analyzer and causes an apparent increase in C02 reading. "Collision broadening" is a phenomenon in which the spectral absorption peaks of a gas (C02) are broadened owing to the collision or proximity of molecules of another gas (N20).1 The correction factors for the presence of various concentrations of N20 have been studied and range from 0.90 at 70% N2O (corrected PC02 = observed PC02 x 0.90) to 0.94 at 50% N2O.2 Most monitors provide some system of electronic compensation to reduce this effect. Alternatively, the simplest method of eliminating this error is to calibrate the instrument with a gas mixture which contains the same background gas concentration as that to be analyzed.3,4

 

References:

1.    Raemer DB, Calalang I. Accuracy of end-tidal carbon dioxide tension analyzer. J Clin Monit 1991;7:19-208.

2.    Kennell EM, Andrews RW, Wollman H.  Correction factors for nitrous oxide in the infrared analysis of carbon dioxide. Anesthesiology 1973;39:441-3.

3.    Carbon dioxide monitors.  Health Devices 1986;15:255-85.

4.    Paloheimo M, Valli M, Ahjopalo H. A guide to CO2 monitoring.  Finland:Datex Instrumentaitrium, 1988.