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  • Poster presentation
  • Open Access

Capnography activation is improved by better ventilator interface ergonomics

  • 1,
  • 1 and
  • 1
Critical Care201115 (Suppl 1) :P139

  • Published:


  • Successful Activation
  • Tube Position
  • Good Ventilator
  • Configurable Interface
  • Randomize Crossover Design


In critical care, capnography is recommended [1]. Upon intubation this is important to rapidly confirm endotracheal tube position. Often capnography is built into critical care ventilators, but as these are frequently used for non-invasive ventilation it is necessary that this monitoring may be switched off and on. We postulated that the ease with which this could be done would relate to the ergonomic design of the ventilation interface and compared the Drager Evita 4 and Drager V500. The Evita 4 has a button hidden within the alarm limits section, whereas on the V500, which has locally configurable interface, this had been placed on the main screen.


Thirty-one nursing and medical ICU staff were studied. The ventilator was set up in a controlled mode with the default front screen visible with capnography disabled. The time to successful activation of capnography was recorded. Each subject performed the same test on both ventilators in a randomized crossover design.


More subjects failed to activate capnography within 120 seconds with the Evita 4 compared with the V500 (14 vs. 1) and survival analysis identified significantly faster time to successful activation in the V500 (see Figure 1). Analysis identified no period effect due to the crossover design.
Figure 1
Figure 1

Survival analysis for time to capnography activation for Evita 4 and V500.


Despite the extensive experience and training on the Evita 4, many subjects were not able to activate capnography within 2 minutes; however, by configuring the screen of the V500 this was almost eliminated in staff even without specific training. Immediate availability of capnography is an important safety issue and manufacturers should consider this in the ergonomic design of their equipment interfaces.

Authors’ Affiliations

Queen Elizabeth Hospital, King's Lynn, UK


  1. Standards for Capnography in Critical Care. London: ICS; 2009.Google Scholar


© Hodge et al. 2011

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.