Procedural Sedation

Patient safety is a primary goal during procedural sedation, and ventilation monitoring is an important step in achieving this objective. To this end, capnography effectively monitors a patient’s airway, providing an early indication of airway compromise in procedural sedation–even in the presence of supplemental O₂ .

Microstream® Capnography features an innovative interface that samples etCO₂ from the nose and mouth, with the option of delivering supplemental oxygen, producing crisp, accurate waveforms. Microstream Capnography monitors adequacy of ventilation regardless of patient type or procedure, providing an accurate, reliable, and easy-to-use assessment of a patient’s breathing.

With Microstream Capnography, you can monitor a patient prior to sedation to determine baseline etCO₂ . Significant changes to the baseline during the procedure will allow the clinician to identify apneas, respiratory depression, ventilatory status changes, hypoventilation and imminent hypoxemia, driving earlier clinical interventions and improving patient safety.¹

¹ Capnography and Patient Safety for Endoscopy. Gerstenberger PD. Clinical Gastroenterology and Hepatology. May 2010; 8(5), 423-5.

Reasons for adopting Microstream Capnography for Procedural Sedation

• Capnography provides critical patient safety information for the GI physician or nurse with an early indication of hypoventilation or respiratory distress – even earlier than SpO₂
• Easy-to-use – simply turn on the monitor, attach the sampling line, and you’re ready to use.
• The Joint Commission and ASA recommend monitoring adequacy of ventilation,^2,3 as provided by Microstream Capnography.
• Multiple studies have established that capnography detects respiratory changes, especially respiratory distress, minutes before SpO₂ and more effectively than visual observation.^4,5

² Joint Commission Accreditation Program: Hospital Chapter: Provision of Care, Treatment, and Services, 2008; The Administration of Moderate or Deep Sedation or Anesthesia.

³ ASA: Practice Guidelines for the Prevention, Detection, and Management of Respiratory Depression Associated with Neuraxial Opioid Administration; Anesthesiology 2009; 110:1–1.

⁴ Capnographic Monitoring of Respiratory Activity Improves Safety of Sedation for Endoscopic Cholangiopancreatography and Ultrasonography. Qadeer, Vargo et al. Gastroenterology; 136: 1568-1576.

⁵ Capnography is superior to pulse oximetry for the detection of respiratory depression during colonoscopy. Cacho G et al. Revista Espanola De Enfermedades Digestivas. February 2010; 02(2), 86-89.

Studies show the growing clinical importance of capnography