Capnography for Moderate Sedation During Routine EGD and Colonoscopy

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...

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...

Capnography: new standard of care for sedation?

Capnography monitoring in procedural sedation for bronchoscopy.

Moderate sedation/analgesia, formerly known as “conscious sedation,” is commonly used during bronchoscopy for patients’ comfort and safety around the world. This is mostly because, during the procedure, patients may experience pain, excessive cough, and sensation of asphyxiation. These experiences may lead to anxiety, hypertension, and even arrhythmias. Moreover, they may leave behind an unplea...

Patient safety during sedation by anesthesia professionals during routine upper endoscopy and colonoscopy: an analysis of 1.38 million procedures.

BACKGROUND AND AIMS Sedation for GI endoscopy directed by anesthesia professionals (ADS) is used with the intention of improving throughput and patient satisfaction. However, data on its safety are sparse because of the lack of adequately powered, randomized controlled trials comparing it with endoscopist-directed sedation (EDS). This study was intended to determine whether ADS provides a safet...