Monitoring standards in sedation and analgesia: the odyssey of capnography in sedation for gastroenterology procedures.

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  • Author(s): Wadhwa V;Wadhwa V; Gupta K; Gupta K; Vargo JJ; Vargo JJ
  • Source:
    Current opinion in anaesthesiology [Curr Opin Anaesthesiol] 2019 Aug; Vol. 32 (4), pp. 453-456.
  • Publication Type:
    Evaluation Study; Journal Article; Review
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8813436 Publication Model: Print Cited Medium: Internet ISSN: 1473-6500 (Electronic) Linking ISSN: 09527907 NLM ISO Abbreviation: Curr Opin Anaesthesiol Subsets: MEDLINE
    • Publication Information:
      Publication: Philadelphia, PA : Lippincott Williams & Wilkins
      Original Publication: Philadelphia, PA, USA : Gower Academic Journals, c1988-
    • Subject Terms:
      Capnography/*standards ; Conscious Sedation/*adverse effects ; Deep Sedation/*adverse effects ; Endoscopy, Gastrointestinal/*adverse effects ; Monitoring, Physiologic/*standards ; Pain, Procedural/*prevention & control; Apnea/diagnosis ; Apnea/etiology ; Humans ; Hypoxia/diagnosis ; Hypoxia/etiology ; Monitoring, Physiologic/methods ; Pain, Procedural/etiology ; Practice Guidelines as Topic ; Risk Factors ; Time Factors
    • Abstract:
      Purpose of Review: Capnography is an excellent tool for early detection of hypoxemia and apnea in patients undergoing sedation for gastrointestinal endoscopy. The current American Society of Anesthesiology (ASA) guidelines recommend the use of capnography in any patient undergoing moderate sedation. The purpose of this review was to compile the most recent data available on capnography use in gastrointestinal endoscopy with the focus primarily on the use of capnography in moderate sedation cases.
      Recent Findings: Recent high-quality studies have evaluated the utility of capnography in low risk patients undergoing moderate sedation and have found no benefit with addition of capnography.
      Summary: Capnography is beneficial when used for patients who are at a higher risk for sedation-related complications. There is no benefit when capnography is used in low risk patients undergoing routine upper endoscopy and colonoscopy under moderate sedation but there is benefit when used in advanced endoscopic procedures that require deeper sedation and have longer procedure times.
    • Publication Date:
      Date Created: 20190607 Date Completed: 20191216 Latest Revision: 20191217
    • Publication Date:
      20231215
    • Accession Number:
      10.1097/ACO.0000000000000756
    • Accession Number:
      31169549