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Capnography Monitoring Significantly Improves Patient Safety during Procedural Sedation in the Emergency Department
Date:11/4/2009

ducted by Kenneth Deitch, DO, Jim Miner, MD, Carl R. Chudnofsky, MD, Paul Dominici, MD, and Daniel Latta, BS. It was published by the Annals of Emergency Medicine in September 2009.

According to the investigators of this research, earlier studies demonstrated that capnography identifies respiratory depression during procedural sedation before clinical examination (through measurement of respiratory rate) and before oxygen desaturation (through pulse oximetry). The intent of this study was to determine whether the early capnography detection of respiratory depression improved safety for sedated patients.

Based on the results, the authors concluded that the use of capnography improves patient safety: "Using capnography in this study, emergency physicians improved patient safety by decreasing the rate of hypoxic events associated with procedural sedation and analgesia."

Dr. David Lain, Chief Clinical Officer for Oridion Capnography comments: "The compelling results of this study put the medical community one step closer to establishing ventilation monitoring with Capnography as the standard of care in the Emergency Department during procedural sedation."

Recognition is growing that capnography is the safest, most effective method to monitor ventilation. Capnography is the American Society of Anesthesiologists (ASA) standard of care for patients under sedation in the operating room, and the ASA's most recent guidelines recommend that all sedated patients--both in and out of the OR--be monitored for depth of respiration, not only pulse oximetry and respiratory rate.

According to the American College of Medical Toxicology, "The major danger with many drugs, including propofol, is that people vary in their response to a given dose, and this sensitivity is unpredictable. A dose that causes a "high" in one person may be the same dose that causes respiratory depression leading to death in anoth
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