Use of capnography and transcutaneous oxygen monitoring during outpatient general anesthesia for oral surgery

Anderson, Jay; Clark, Phyllis J.; Kafer, Enid R.

doi:10.1016/0278-2391(87)90078-4

Cited by 21 publications

(8 citation statements)

References 19 publications

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“…Although continuous capnography is required for all patients undergoing general anesthesia, it is optional for MAC/sedation cases. The need for CO 2 monitoring has been studied by other medical specialties that frequently use procedural sedation, including gastroenterology (11), dentistry (12,13), and emergency medicine (14 -16), and many specialties now recommend capnography as a standard monitoring device. No studies have compared the incidence of apnea/ obstruction detection with capnography versus impedance plethysmography, nor have the effects of oxygen flow rate on capnographic detection of apnea been evaluated.…”

Section: Discussionmentioning

confidence: 99%

Capnography Accurately Detects Apnea During Monitored Anesthesia Care

Soto

Vila

et al. 2004

Anesthesia & Analgesia

163

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Apnea and airway obstruction are common during monitored anesthesia care (MAC). Because their early detection is essential, we sought to measure the efficacy of capnography as an indicator of apnea during MAC at a variety of oxygen flow rates compared with thoracic impedance. Anesthesia care providers using standard American Society of Anesthesiologists monitors were blinded to capnography and thoracic impedance monitoring. Ten (26%) of the 39 patients studied developed 20 s of apnea; none was detected by the anesthesia provider, but all were detected by capnography and impedance monitoring. There was no difference in detection rates between the two methods. Higher oxygen flow rates decreased the amplitude of the capnograph but did not interfere with apnea detection. This pilot study revealed that apnea of at least 20 s in duration may occur in every fourth patient undergoing MAC. Although these episodes were undetected by the anesthesia provider, they were reliably detected by both capnography and respiratory plethysmography. Monitoring of nasal end-tidal CO(2) is an important way to improve safety in patients undergoing MAC.

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Section: Discussionmentioning

confidence: 99%

Capnography Accurately Detects Apnea During Monitored Anesthesia Care

Soto

Vila

et al. 2004

Anesthesia & Analgesia

163

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“…Die gleichzeitige Applikation von O 2 und Messung von CO 2 in einem Nasengang wird unseres Wissens nur in einer pädiatrischen Arbeit von 1987 durchgeführt [1]. Bei den untersuchten Patienten war es mit dieser Vorrichtung möglich, eine beginnende Hypoventilation schnell zu erfassen.…”

Section: Diskussionunclassified

Remifentanil/Propofol zur bronchoskopischen Wachintubation unter Kapnographiekontrolle

et al. 2000

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With the use of nasal capnography and capnometry in addition to simultaneous O2 administration during fiberoptic intubation under extreme conditions excellent analgosedation with propofol and remifentanil could be provided without compromising our patients' safety. The presented CO2 measuring and O2 administering device represents a simple and cheap expansion of standard anesthetic monitoring during fiberoptic intubation.

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“…1 When it comes to respiratory monitoring, a considerable amount of variability exists in various dental procedures being carried out in different dental clinics in relation to the type of anesthesia and analgesia used. 2,3 In the world of modern-day oral surgery, ventilation has been overpowered by oxygenation therapy by the advancements and use of pulp oximetry.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Alteration in Capnometry Monitoring during Intravenous Sedation with Midazolam for Oral Surgical Procedures

Kavitha

Kakade

Singh³

et al. 2017

The Journal of Contemporary Dental Practice

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Introduction Capnography is routinely used for monitoring of patients subjected to sedation for different surgical procedures. There is still paucity of data highlighting the capnographic assessment of patients on midazolam sedation undergoing oral surgical procedures. Hence, we planned the present study to assess the alterations occurring in the end-tidal carbon dioxide (ETCO2) values monitored during intravenous (IV) sedation with midazolam during various oral surgical procedures. Materials and methods The present study included assessment of alteration in ETCO2 values occurring during oral surgical procedure. After meeting the inclusion and exclusion criteria, a total of 40 participants were included in the present study. Pulse oximeter with capnograph (EmcoMeditek Pvt., Ltd., India) device was used for assessment of respiratory rate (RR) and ETCO2 values. The mean of 12 readings over a period of 1 minute before the starting of first infusion was referred to as baseline time. By evaluating the first four readings at an interval of 15 seconds during the 1st minute of infusion, we obtained the 1 minute average reading. All the data were compiled and recorded and assessed by the Statistical Package for the Social Sciences (SPSS) software. Results A total of 40 participants were included, out of which, 20 were males and 20 were females. At the baseline time, mean value of ETCO2 was 31 mm Hg, while mean value of oxygen saturation (SpO2) was 36%. Out of total 40 participants, 15 showed the presence of respiratory depression. Out of these 15 participants, ETCO2 changes from baseline were observed in 13 participants. Conclusion No oxygen should be delivered, unless until required, to the healthy participants undergoing dental sedation procedures, for marinating the sensitivity of pulse oximetry during assessment of respiratory depression. Clinical significance In patients undergoing sedation procedures, various monitoring techniques should be employed as respiratory depression is a commonly encountered risk factor. How to cite this article G Kavitha, Kakade PK, Singh M, Ahire M, Augustine M, Jain KD. Assessment of Alteration in Capnometry Monitoring during Intravenous Sedation with Midazolam for Oral Surgical Procedures. J Contemp Dent Pract 2017;18(11):1025-1028.

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Use of capnography and transcutaneous oxygen monitoring during outpatient general anesthesia for oral surgery

Cited by 21 publications

References 19 publications

Capnography Accurately Detects Apnea During Monitored Anesthesia Care

Capnography Accurately Detects Apnea During Monitored Anesthesia Care

Remifentanil/Propofol zur bronchoskopischen Wachintubation unter Kapnographiekontrolle

Assessment of Alteration in Capnometry Monitoring during Intravenous Sedation with Midazolam for Oral Surgical Procedures

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