Benefits and harms of capnography during procedures involving moderate sedation

Modeling the costs and benefits of capnography monitoring during procedural sedation for gastrointestinal endoscopy.

BACKGROUND AND STUDY AIMS The addition of capnography to procedural sedation/analgesia (PSA) guidelines has been controversial due to limited evidence of clinical utility in moderate PSA and cost concerns. PATIENTS AND METHODS A comprehensive model of PSA during gastrointestinal endoscopy was developed to capture adverse events (AEs), guideline interventions, outcomes, and costs. Randomized, ...

Is capnography mandatory during sedation for endoscopy?

Sedation during endoscopic procedures needs to ensure adequate tissue oxygenation, which depends on good cardiovascular and respiratory function. These parameters need to be monitored non-invasively as it is difficult to predict how a certain patient will respond to sedation. Tissue oxygenation is monitored using oximetry. Cardiovascular function is monitored by measuring blood pressure and pul...

Benefits and harms of roflumilast in moderate to severe COPD.

BACKGROUND Roflumilast, a phosphodiesterase 4 inhibitor, has been approved for the prevention of chronic obstructive pulmonary disease (COPD) exacerbations. It is unclear which patients will have a favourable benefit-harm balance with roflumilast. Our aim was to quantitatively assess the benefits and harms of roflumilast (500 µg/day) compared with placebo. METHODS We used summary data release...

Respiratory monitoring during pediatric sedation: pulse oximetry and capnography.

A major concern in pediatric dentistry is maximizing risk management through optimal monitoring of respiratory function during sedation techniques. This article examines the problems inherent in respiratory monitoring in sedated pediatric dental patients, the traditional methods of respiratory monitoring, and new technologies which are useful in optimizing respira tory monitoring. The authors d...

Cardiorespiratory Complications During Moderate and Deep Sedation for Gastrointestinal Endoscopic Procedures