Supplemental low flow oxygen prevents hypoxia during endoscopic cholangiopancreatography

Crantock, Luke; Cowen, A. E.; Ward, Michael; Roberts, Rosemary

doi:10.1016/s0016-5107(92)70468-4

Cited by 26 publications

(9 citation statements)

References 7 publications

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“…It has been suggested that the use of low-flow supplemental oxygen (2 L/min) can decrease the incidence of hypoxemia during upper and lower endoscopy (Crantock, Cowen, Ward, & Roberts, 1992;Ristikankare, Julkunen, Mattila, Laitinen, & Wang, 2000). Recognition of the benefits and optimal use of supplemental oxygen have been discussed widely over the past decade (Ristikankare et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Supplemental Oxygen During Moderate Sedation and the Occurrence of Clinically Significant Desaturation During Endoscopic Procedures

Rozario

Sloper

Sheridan

2008

Gastroenterology Nursing

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Gastrointestinal endoscopy is the method of choice for the diagnosis and treatment of diseases of the esophagus, stomach, and colon. Moderate sedation is commonly used to sedate patients for endoscopic procedures. The objective of this study is to determine whether supplemental oxygen administered prior to and during moderate sedation decreases episodes of clinically significant oxygen desaturation in adults undergoing endoscopic procedures. Three hundred eighty-nine subjects participated in the study. Of these, 194 patients were assigned to the experimental group and 195 patients to the control group. Use of supplemental oxygen was the study intervention. At baseline, the two groups did not differ significantly with respect to age, gender, body mass index, ethnicity, type of procedure, American Society of Anesthesiologists score, and pulse or respiratory rate. Of the control group, 70.8% (138/195) of patients experienced a desaturation episode compared with 12.4% (24/194) of experimental patients (p < .00001). Patients receiving supplemental oxygen were 98% less likely to experience desaturation than the controls. The results of this study support the routine use of supplemental oxygen (2 liters/minute) during endoscopic procedures to prevent desaturation. On the basis of the study data, it is recommended that patients undergoing endoscopy with moderate sedation, who meet the inclusion and exclusion criteria of this study, receive supplemental oxygen (2 L/min). Routine incorporation of this recommendation in hospital policies will ensure that patients routinely receive this preventive measure: supplemental oxygen during moderate sedation and the occurrence of clinically significant desaturation during endoscopic procedures.

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Section: Introductionmentioning

confidence: 99%

Supplemental Oxygen During Moderate Sedation and the Occurrence of Clinically Significant Desaturation During Endoscopic Procedures

Rozario

Sloper

Sheridan

2008

Gastroenterology Nursing

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“…Although sedative endoscopy is a good way to minimize patient anxiety and increase patient satisfaction with the endoscopic procedure, many studies have shown a risk of related complications [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Oxygenation before Endoscopic Sedation Reduces the Hypoxic Event during Endoscopy in Elderly Patients: A Randomized Controlled Trial

Kim

Hyun

Lee

et al. 2020

JCM

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Background: Sedation endoscopy increases patient and examiner satisfaction but involves complications. The most serious complication is hypoxia, the risk factors for which are old age, obesity, and American Society of Anesthesiologists physical status of 3 or greater. However, clear evidence of oxygenation during sedation endoscopy for elderly people is lacking in US, European, and Korean guidelines. Method: This study was conducted for 1 year starting in August 2018 to evaluate whether pre-oxygenation use 1 min before sedation endoscopy could reduce the incidence of hypoxia in patients older than 65 years of age. A total of 70 patients were divided into the non-oxygenated group (n = 35; control group) and oxygen-treated group (n = 35; experimental group) during endoscopy. Result: The incidence of hypoxia was 28 (80%) in the control group versus 0 (0%) in the pre-oxygenated group. Factors related to hypoxia in the non-oxygenated group were a relatively high dose of midazolam and concomitant injection with narcotic analgesics such as pethidine. Conclusion: The incidence of hypoxia during sedation endoscopy is high in patients over 65 years, but oxygenation during endoscopic sedation in elderly people can significantly reduce the incidence of intraprocedural hypoxic events.

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“…Automatic blood pressure monitors are widely available, relatively reliable, cheap, and easy to use. Although the potential benefit of routine prophylactic oxygen supplementation in terms of decreased cardiopulmonary complications is unclear, oxygen administration is widely recommended because oxygen desaturation is a frequent occurrence during endoscopy 30,31,32,33,34. These basic monitoring steps are recommended for all endoscopic sedation cases.…”

Section: Performance Of Endoscopic Sedationmentioning

confidence: 99%

Endoscopic Sedation: From Training to Performance

Lee

2014

Clin Endosc

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Adequate sedation and analgesia are considered essential requirements to relieve patient discomfort and pain and ultimately to improve the outcomes of modern gastrointestinal endoscopic procedures. The willingness of patients to undergo sedation during endoscopy has increased steadily in recent years and standard sedation practices are needed for both patient safety and successful procedural outcomes. Therefore, regular training and education of healthcare providers is warranted. However, training curricula and guidelines for endoscopic sedation may have conflicts according to varying legal frameworks and/or social security systems of each country, and well-recognized endoscopic sedation training systems are not currently available in all endoscopy units. Although European and American curricula for endoscopic sedation have been extensively developed, general curricula and guidelines for each country and institution are also needed. In this review, an overview of recent curricula and guidelines for training and basic performance of endoscopic sedation is presented based on the current literature.

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Supplemental low flow oxygen prevents hypoxia during endoscopic cholangiopancreatography

Cited by 26 publications

References 7 publications

Supplemental Oxygen During Moderate Sedation and the Occurrence of Clinically Significant Desaturation During Endoscopic Procedures

Supplemental Oxygen During Moderate Sedation and the Occurrence of Clinically Significant Desaturation During Endoscopic Procedures

Oxygenation before Endoscopic Sedation Reduces the Hypoxic Event during Endoscopy in Elderly Patients: A Randomized Controlled Trial

Endoscopic Sedation: From Training to Performance

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