Capnography in the endoscopy suite: A necessity, not a luxury!
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منابع مشابه
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, ...
متن کاملIs 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...
متن کاملCapnography compared to pulse oximetry for early detection of respiratory compromise in non-intubated patients undergoing gastrointestinal endoscopy procedures: a systematic review protocol.
REVIEW QUESTION/OBJECTIVE Does the use of capnography versus pulse oximetry increase the early detection of respiratory compromise and improve safety in non-intubated patients undergoing moderate sedation for gastrointestinal endoscopy procedures?Respiratory compromise will be detected by alveolar hypoventilation/hyperventilation (EtCO2 < 35 mmHg/EtCO2 > 50 mmHg), arterial oxygen desaturation (...
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Compassion is a complex process that is innate, determined in part by individual traits, and modulated by a myriad of conscious and unconscious factors, immediate context, social structures and expectations, and organizational “culture.” Compassion is an ethical foundation of healthcare and a widely shared value; it is not an optional luxury in the healing process. While the interrelations betw...
متن کاملCapnography is superior to pulse oximetry for the detection of respiratory depression during colonoscopy.
BACKGROUND Pulse oximetry is a widely accepted procedure for ventilatory monitoring during gastrointestinal endoscopy, but this method provides an indirect measurement of the respiratory function. In addition, detection of abnormal ventilatory activity can be delayed, especially if supplemental oxygen is provided. Capnography offers continuous real-time measurement of expiratory carbon dioxide....
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