Studies suggest up to 69% of patients have evidence of respiratory compromise (RC) during sedation, which may progress to serious adverse events when unrecognized.1 In 2018, six procedural societies including the American Society of Anesthesiologists released practice guidelines to improve outcomes during moderate sedation2 (specific to oxygenation and ventilation).
TOPIC: Respiratory Compromise
1. Qadeer MA, Vargo JJ, Dumot JA, Lopez R, Trolli PA, Stevens T, Parsi MA, Sanaka MR, Zuccaro G. Capnographic monitoring of respiratory activity improves safety of sedation for endoscopic cholangiopancreatography and ultrasonography. Gastroenterology. 2009 May;136(5):1568-76
2. Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018- A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology. Anesthesiology 2018, 128(3):437-479. https://anesthesia.bidmc.harvard.edu/Policies/clinical/ASA%20practice%20guidelines%202018%20Moderate%20sedation.pdf
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