Supplemental oxygen compromises the use of pulse oximetry for detection of apnea and hypoventilation during sedation in simulated pediatric patients

Pediatrics

Volumn 122, Issue 2, 2008, Pages 293-298

  Keidan, Ilan ^a,c   Gravenstein, Dietrich ^c   Berkenstadt, Haim ^a,b   Ziv, Amitai ^b   Shavit, Itay ^d   Sidi, Avner ^a,c  

^a Department of Anesthesia and Intensive Care ^*  (Israel)

^b TEL AVIV UNIVERSITY   (Israel)

^c UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE   (United States)

^d RAMBAM MEDICAL CENTER   (Israel)

Author keywords

Pulse oximetry; Sedation; Simulation; Supplemental oxygen

Indexed keywords

OXYGEN;

APNEA; ARTERIAL CARBON DIOXIDE TENSION; ARTICLE; CONTROLLED STUDY; DELAYED DIAGNOSIS; HUMAN; HYPOVENTILATION; MANUAL VENTILATION; NORMAL HUMAN; OXYGEN SATURATION; OXYGEN THERAPY; PRIORITY JOURNAL; PULSE OXIMETRY; SEDATION; SIMULATOR; ANALYSIS OF VARIANCE; AUDIOVISUAL EQUIPMENT; BLOOD; BLOOD GAS ANALYSIS; COMPARATIVE STUDY; CONSCIOUS SEDATION; METHODOLOGY; OXIMETRY; OXYGEN CONSUMPTION; PHYSIOLOGY; PRESCHOOL CHILD; PROBABILITY; REFERENCE VALUE; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY;

ANALYSIS OF VARIANCE; APNEA; BLOOD GAS ANALYSIS; CHILD, PRESCHOOL; CONSCIOUS SEDATION; HUMANS; HYPOVENTILATION; MANIKINS; OXIMETRY; OXYGEN CONSUMPTION; OXYGEN INHALATION THERAPY; PROBABILITY; REFERENCE VALUES; RISK ASSESSMENT; SENSITIVITY AND SPECIFICITY;

EID: 49849085407     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2007-2385     Document Type: Article

References (25)

1. fs44 1. American Society of Anesthesiologists, Task Force on Sedation and Analgesia by Non-Anesthesiologists. An updated report by the American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96(4):1004-1017
2. Krauss B, Green SM. Sedation and analgesia for procedures in children. N Engl J Med. 2000;342(13):938-945
3. Davidson JA, Hosie HE. Limitations of pulse oximetry: respiratory insufficiency: a failure of detection. BMJ. 1993;307(6900):372-373
4. Fu ES, Downs JB, Schweiger JW, Miguel RV, Smith RA. Supplemental oxygen impairs detection of hypoventilation by pulse oximetry. Chest. 2004;126(5):1552-1558
5. Tsuji Y, Kondo C, Nakazawa M, Momma K. Oxygen consumption during daily activity of normal children in elementary school. Pediatr Cardiol Card Surg. 1997;13(3):405-413
6. Fok TF, Gu J-S, Lim CN, Ng PC, Wong HL, So KW. Oxygen consumption and resting energy expenditure during phototherapy in full term and preterm newborn infants. Arch Dis Child Fetal Neonatal Ed. 2001;85(1):F49-F52
7. Nelson DB, Freeman ML, Silvis SE, et al. A randomized, controlled trial of transcutaneous carbon dioxide monitoring during ERCP. Gastrointest Endosc. 2000;51(3):288-295
8. Bennett J, Petersen T, Burleson JA. Capnography and ventilatory assessment during ambulatory dentoalveolar surgery. J Oral Maxillofac Surg. 1997;55(9):921-925
9. Evans EN, Ganeshalingam K, Ebden P. Changes in oxygen saturation and transcutaneous carbon dioxide and oxygen levels in patients undergoing fiberoptic bronchoscopy. Respir Med. 1998;92(5):739-742
10. DiBenedetto RJ, Graves SA, Graventstien N, et al. Pulse oximetry monitoring can change routine oxygen supplementation practices in the postanesthesia care unit. Anesth Analg. 1994; 78(2):365-368
11. Israel Ministry of Health. Guidelines for Pediatric Sedation by Non-Anesthesiologists [in Hebrew]. Tel Aviv, Israel: Israel Ministry of Health; 2003. Policy statement 35/2003
12. Shavit I, Hershman E. Management of children undergoing painful procedures in the emergency department by non- anesthesiologists. Isr Med Assoc J. 2004;6(6):350-355
13. Miner JR, Heegaard W, Plummer D. End-tidal carbon dioxide monitoring during procedural sedation. Acad Emerg Med. 2002; 9(4):275-280
14. Stock MC, Downs JB, McDonald JS, et al. The carbon dioxide rate of rise in awake apneic humans. J Clin Anesth. 1988;1(2):96-103
15. 2 in the apneic anesthetized patient. Anesthesiology. 1961;22(3):419 -425
16. 2 rate of rise in anesthetized patients with airway obstruction. J Clin Anesth. 1989;1(5):328-332
17. Sieker HO, Hickam JB. Carbon dioxide intoxication: the clinical syndrome, its etiology and management with particular reference to the use of mechanical respirators. Medicine (Baltimore). 1956;35(4):389-423
18. Downs JB. Has oxygen administration delayed appropriate respiratory care? Fallacies regarding oxygen therapy. Respir Care. 2003;48(6):611-620
19. Stemp LI, Ramsay MA. Oxygen may mask hypoventilation: patient breathing must be ensured [letter]. APSF Newsl. 2005-2006;20(4):80
20. Stemp LI. Etiology of hypoxemia often overlooked [letter]. APSF Newsl. 2004;19(3):38-39
21. Downs JB. Prevention of hypoxemia: the simple, logical, but incorrect solution. J Clin Anesth. 1994;6(3):180-181
22. Anderson JA, Clark PJ, Kafer ER. Use of capnography and transcutaneous oxygen monitoring during outpatient general anesthesia for oral surgery. J Oral Maxillofac Surg. 1987;45(1):3-10
23. Burton JH, Harrah JD, Germann CA, Dillon DC. Does end-tidal carbon dioxide monitoring detect respiratory events prior to current sedation monitoring practices? Acad Emerg Med. 2006; 13(5):500-504
24. Lightdale JR, Goldmann DA, Feldman HA, Newburg AR, Di- Nardo JA, Fox VL. Microstream capnography improves patient monitoring during moderate sedation: a randomized, controlled trial. Pediatrics. 2006;117(6). Available at: www.pediatrics.org/cgi/content/full/117/6/e1170
25. Augarten A, Zaslansky R, Matok I, et al. The impact of educational intervention programs on pain management in a pediatric emergency department. Biomed Pharmacother. 2006;60(7):299-302