Is capnography mandatory during sedation for endoscopy?

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...

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, ...

Children Sedation during Gastrointestinal Endoscopy Comparison of Two Methods

Introduction: Endoscopy is an invasive and painful procedure in children. Since children can not tolerate pain and stress, sedation is necessary in pediatric endoscopy. The aim of this study was comparison of propofol versus intravenous midazolam for reducing anxiety in children.   Materials and Methods: In this study, 103 patients (2-14 years old) in whom endoscopy was indicated were divid...

Capnography: new standard of care for sedation?

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...