Opioid Safety, Respiratory Compromise

Capnography Monitoring During Conscious Sedation:

The Physician-Physician Alliance for Health Safety has released a clinical education podcast on capnography monitoring during conscious sedation with Barbara McArthur, RN, BScN, CPN(C). Ms. McArthur is an advanced practice nurse at Sunnybrook Health Sciences Centre in Toronto, Canada.

Capnography Monitoring: An Early Indicator of Patient Deterioration

After reviewing the current literature, Sunnybrook decided that monitoring with capnography resulted in safer patient care. Capnography monitoring provides an early indicator of patient deterioration, which can be crucial in averting adverse events and patient deaths. Capnography monitoring, says Ms. McArthur, is monitoring in “real time. With pulse oximetry, there is a delay, which could be up to a minute in healthy patients. So, that’s a significant sort of time that is delayed that reaction could happen.” 

 

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Opioid Safety, Respiratory Compromise

Keeping Patients Safe During Moderate Sedation

There are millions of medical procedures involving conscious or moderate sedation completed each year. In 2002, for example, there were 14.2 million colonoscopies performed. According to the U.S. National Library of Medicine, some of the moderate sedation procedures include:

  • Breast biopsy
  • Dental prosthetic or reconstructive surgery
  • Minor bone fracture repair
  • Minor foot surgery
  • Minor skin surgery
  • Plastic or reconstructive surgery
  • Procedures to diagnose and treat some stomach (upper endoscopy), colon (colonoscopy), lung (bronchoscopy), and bladder (cystoscopy) conditions.

In order to ensure the safety of patients undergoing procedures requiring moderate sedation, in January 2016, the Association for Radiologic & Imaging Nursing (ARIN) issued a Position Statement on Use of Capnography for Patients Who Receive Moderate Sedation/Analgesia.
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