Encyclopedia of capnograms
Bhavani Shankar Kodali MD
Expiratory Unidirectional valve
Expiratory valve – Normal |
Incompetent expiratory valve |
The capnogram shows prolonged phase II as well as slanting of descending limb of inspiratory segement. The expirato
ry unidirectional valve was noted to be fixed in the open position and thus allowing previously exhaled gases, high in CO2, to be rebreathed with each inspiration. The CO2 waveform returned to normal soon after the valve was removed, cleaned, dried, and replaced.
Reference
Pyles, ST, Berman LS, Modell JH. Expiratory valve dysfunction in a semiclosed circle anesthesia circuit-verification by analysis of carbon dioxide waveform. Anesthesia Analgesia 1984;63:536-7.