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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > November, 2007 Vol. VIII, No. 11

The Case for Capnography

Monitoring end tidal CO2 provides early warnings of airway obstructions.

Larry Snyder

I consider capnography to be the ultimate safety net for anesthesia providers during MAC or IV sedation cases, but not everyone agrees. According to an April 2006 Outpatient Surgery Magazine reader survey, only 40 percent of respondents used capnography during these cases. The American Society of Anesthesiologists doesn't mandate the use of capnography for procedures not involving general anesthesia. Here's why the monitoring should be an integral part of patient care during all conscious sedation cases.

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Categories: Anesthesia, Equipping Your OR
Keywords:
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Tidal waves; Make it required; American Society; Anesthesiologists; April; End; IV; MAC; Magazine; Measuring; Outpatient Surgery Magazine; PACU; RNs. Respiratory; Respiratory; Society; Surgery Magazine; Throw; accurate; acidotic; adjuncts; administered; administering; advance; agents; airway; allowed; alternate; analyzing; anesthesia; approximate; assess; assessment; back; baseline; basic; beginning; begins; blood; breathing; cannula; capnograph; capnography; cardiac; cardiovascular; care; case; change; collapse; complete; compromise; condition; conscious; constant; coronary; cost; cycle; danger; dangerous; decision; demand; differ; disappears; drop; early; end; establish; exhaled; experience; expiratory; expulsion; factor; falling; forego; gas; general; goal; immediately; imminent; imperative; increase; indication; indicator; individual; initial; integral; interventions; intimately; involving; kicks; leads; level; longer; loss; low; mandate; manufacturer's; margin; marking; means; measured; measurement; measures; millimeters; mind; monitored; monitoring; monitors; movements; narrow; nasal; needed; needing; net; normal; number; obese; observe; observing; obstructions; obstructive; occluded; optimize; order; oxygen; parameters; part; passing; patient; patients; patterns; percent; phase; physiological; potentially; precious; presence; present; presenting; pressure; prevent; primary; problems; procedures; provide; provider; quickly; rapid; rate; reactions; reader; real; reason; recent; recognize; relative; relax; representing; resembles; respiratory; respondents; restrictions; reversal; risk; run; running; safe; safety; saturation; seconds; sedation; serves; sleep; soft; spent; split; square; staff; stress; surely; surgery; system; throat; tidal; timing; tissue; tool; top; typical; ultimate; understanding; upslope; valuable; variations; volume; warning; wave; waveform

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