Neonates on respiratory support often experience rapid changes in their carbon dioxide (CO2). These fluctuations in CO2 concentrations can alter cerebral blood flow and increase the risk of intraventricular hemorrhage.

Frequent blood sampling to monitor CO2:

• Disrupts sleep - wake cycle

• Is painful; associated with chronic pain

• Associated with poor developmental outcomes

Transcutaneous carbon dioxide monitors (TCOMs) allow for measurement of the partial pressure of carbon dioxide (pCO2). This technology utilizes the diffusion properties of CO2 through tissues and skin, allowing for sensor readings at the skin surface. Using this technology available, newborns in the NICU will not have to endure as many blood draws and will lower risks of complications.