Safety of Microstream Capnography Monitoring in Patients Under Sedation for Colonoscopy
Aim:The purpose of this study was to investigate the effectiveness of micro stream capnography in early recognition of adverse events during sedation for colonoscopy.Methods:This prospective randomized study was performed implemented on 82 adults scheduled for elective colonoscopy. SpO2, ETCO2 and i...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-09-01
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| Series: | Haseki Tıp Bülteni |
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http://www.hasekidergisi.com/archives/archive-detail/article-preview/safety-of-microstream-capnography-monitoring-in-pa/30288
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| _version_ | 1797922608955523072 |
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| author | Sibel Oba Hacer Şebnem Türk Canan Tülay Işıl Pınar Sayın Leyla Kılınç |
| author_facet | Sibel Oba Hacer Şebnem Türk Canan Tülay Işıl Pınar Sayın Leyla Kılınç |
| author_sort | Sibel Oba |
| collection | DOAJ |
| description | Aim:The purpose of this study was to investigate the effectiveness of micro stream capnography in early recognition of adverse events during sedation for colonoscopy.Methods:This prospective randomized study was performed implemented on 82 adults scheduled for elective colonoscopy. SpO2, ETCO2 and integrated pulmonary index (IPI) values were measured with the use of micro stream capnography and recorded. Arterial blood gas samples were taken at the beginning, 10th minute and end of the procedure and analyzed.Results:The correlation between mean values of IPI and mean values of ETCO2, SpO2 and PaCO2 was not statistically significant. There was a statistically significant correlation between IPI value at the beginning and PaCO2 value at the end of the procedure. Correlation of IPI value at the 10th minute with SpO2 at the 10th minute and SPO2 value at the end of the procedure was statistically significant.Conclusion:Non-invasive ETCO2 monitoring with micro stream capnography is correlated with PaCO2 values in arterial blood gas analysis, which is useful for monitoring of sedation and hypoventilation during colonoscopy procedures. However, IPI monitoring is not of clinical benefit to early recognition of hypoventilation. Non-invasive ETCO2 monitoring with micro stream capnography should be a part of routine monitoring for safe anesthetic practice outside the operating room. |
| first_indexed | 2024-04-10T14:33:55Z |
| format | Article |
| id | doaj.art-8aced8adfafe448fa824b551a6bbef38 |
| institution | Directory Open Access Journal |
| issn | 1302-0072 2147-2688 |
| language | English |
| last_indexed | 2024-04-10T14:33:55Z |
| publishDate | 2019-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Haseki Tıp Bülteni |
| spelling | doaj.art-8aced8adfafe448fa824b551a6bbef382023-02-15T16:08:40ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882019-09-0157323223910.4274/haseki.galenos.2018.476913049054Safety of Microstream Capnography Monitoring in Patients Under Sedation for ColonoscopySibel Oba0Hacer Şebnem Türk1Canan Tülay Işıl2Pınar Sayın3Leyla Kılınç4 Şişli Hamidiye Etfal Training and Research Hospital, Clinic of Anesteziyoloji ve Reanimasyon, İstanbul, Turkey Şişli Hamidiye Etfal Training and Research Hospital, Clinic of Anesteziyoloji ve Reanimasyon, İstanbul, Turkey Şişli Hamidiye Etfal Training and Research Hospital, Clinic of Anesteziyoloji ve Reanimasyon, İstanbul, Turkey Şişli Hamidiye Etfal Training and Research Hospital, Clinic of Anesteziyoloji ve Reanimasyon, İstanbul, Turkey Şişli Hamidiye Etfal Training and Research Hospital, Clinic of Anesteziyoloji ve Reanimasyon, İstanbul, Turkey Aim:The purpose of this study was to investigate the effectiveness of micro stream capnography in early recognition of adverse events during sedation for colonoscopy.Methods:This prospective randomized study was performed implemented on 82 adults scheduled for elective colonoscopy. SpO2, ETCO2 and integrated pulmonary index (IPI) values were measured with the use of micro stream capnography and recorded. Arterial blood gas samples were taken at the beginning, 10th minute and end of the procedure and analyzed.Results:The correlation between mean values of IPI and mean values of ETCO2, SpO2 and PaCO2 was not statistically significant. There was a statistically significant correlation between IPI value at the beginning and PaCO2 value at the end of the procedure. Correlation of IPI value at the 10th minute with SpO2 at the 10th minute and SPO2 value at the end of the procedure was statistically significant.Conclusion:Non-invasive ETCO2 monitoring with micro stream capnography is correlated with PaCO2 values in arterial blood gas analysis, which is useful for monitoring of sedation and hypoventilation during colonoscopy procedures. However, IPI monitoring is not of clinical benefit to early recognition of hypoventilation. Non-invasive ETCO2 monitoring with micro stream capnography should be a part of routine monitoring for safe anesthetic practice outside the operating room. http://www.hasekidergisi.com/archives/archive-detail/article-preview/safety-of-microstream-capnography-monitoring-in-pa/30288 CapnographyEndCO2IPImicro streamPaCO2 |
| spellingShingle | Sibel Oba Hacer Şebnem Türk Canan Tülay Işıl Pınar Sayın Leyla Kılınç Safety of Microstream Capnography Monitoring in Patients Under Sedation for Colonoscopy Haseki Tıp Bülteni Capnography EndCO2 IPI micro stream PaCO2 |
| title | Safety of Microstream Capnography Monitoring in Patients Under Sedation for Colonoscopy |
| title_full | Safety of Microstream Capnography Monitoring in Patients Under Sedation for Colonoscopy |
| title_fullStr | Safety of Microstream Capnography Monitoring in Patients Under Sedation for Colonoscopy |
| title_full_unstemmed | Safety of Microstream Capnography Monitoring in Patients Under Sedation for Colonoscopy |
| title_short | Safety of Microstream Capnography Monitoring in Patients Under Sedation for Colonoscopy |
| title_sort | safety of microstream capnography monitoring in patients under sedation for colonoscopy |
| topic | Capnography EndCO2 IPI micro stream PaCO2 |
| url |
http://www.hasekidergisi.com/archives/archive-detail/article-preview/safety-of-microstream-capnography-monitoring-in-pa/30288
|
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