To investigate the validity of ETCO
2 in porcine neonates, which have been frequently used as an experimental model for human neonates, the relationship between arterial (PaCO
2) and end-tidal PCO
2 (ETCO
2) in porcine neonates was examined under different respiratory conditions by regulating both inspiratory flow and positive end expiratory pressure (PEEP). The difference between PaCO
2 and ETCO
2 widened significantly, according to the significant decrease in tidal volume/body weight ratio (TV/BW) caused by the increase of PEEP. A lower correlation between PaCO
2 and ETCO
2 was observed in <6 ml/kg than in ≥ 6 ml/kg TV/BW. It therefore seems reasonable to conclude that, in porcine neonates, the valid ETCO
2 measurements corresponding to PaCO
2 would be obtained at ≥ 6 ml/kg TV/BW.
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