Capnographic monitoring reduces the incidence of arterial oxygen desaturation and hypoxemia during propofol sedation for colonoscopy: A randomized, controlled study (colocap study)

American Journal of Gastroenterology

Volumn 107, Issue 8, 2012, Pages 1205-1212

  Beitz, Analena ^a   Riphaus, Andrea ^b   Meining, Alexander ^a   Kronshage, Tim ^b   Geist, Christoph ^b   Wagenpfeil, Stefan ^a   Weber, Andreas ^a   Jung, Andreas ^a   Bajbouj, Monther ^a   Pox, Christian ^b   Schneider, Gerhard ^c   Schmid, Roland M ^a   Wehrmann, Till ^d   Von Delius, Stefan V ^a  

^a TECHNICAL UNIVERSITY OF MUNICH   (Germany)

^b RUHR UNIVERSITY BOCHUM   (Germany)

^c UNIVERSITY OF WITTEN HERDECKE   (Germany)

^d DEUTSCHE KLINIK FÜR DIAGNOSTIK   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

OXYGEN; PROPOFOL;

ADULT; ARTERIAL OXYGEN DESATURATION; ARTICLE; BRADYCARDIA; CAPNOGRAPHY; COLONOSCOPY; CONTROLLED STUDY; COOPERATION; FEMALE; HUMAN; HYPOTENSION; HYPOXEMIA; MAJOR CLINICAL STUDY; MALE; MONITOR; OXYGEN SATURATION; PATIENT MONITORING; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SEDATION;

ANOXIA; CAPNOGRAPHY; COLONOSCOPY; CONSCIOUS SEDATION; FEMALE; HUMANS; HYPNOTICS AND SEDATIVES; MALE; MIDDLE AGED; MONITORING, PHYSIOLOGIC; OXYGEN; PROPOFOL;

EID: 84864603316     PISSN: 00029270     EISSN: 15720241     Source Type: Journal    
DOI: 10.1038/ajg.2012.136     Document Type: Article

References (20)

1. McQuaid KR, Laine L. A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures. Gastrointest Endosc 2008; 67: 910-23. (Pubitemid 351618323)
2. Harris JK, Vader JP, Wietlisbach V et al. Variations in colonoscopy practice in Europe: a multicenter descriptive study (EPAGE). Scand J Gastroenterol 2007; 42: 126-34. (Pubitemid 46033055)
3. Cohen LB, Wecsler JS, Gaetano JN et al. Endoscopic sedation in the United States: results from a nationwide survey. Am J Gastroenterol 2006; 101: 967-74. (Pubitemid 43725309)
4. Vargo JJ, Cohen LB, Rex DK et al. Nonanesthesiologist administration of propofol for GI endoscopy. Gastroenterology 2009; 137: 2161-7.
5. Dumonceau JM, Riphaus A, Aparicio JR et al. Non-anesthesiologist administration of propofol for GI endoscopy. Endoscopy 2010; 42: 960-74.
6. Riphaus A, Wehrmann T, Weber B et al. S3-guidelines-sedation in gastrointestinal endoscopy. Z Gastroenterol 2008; 46: 1298-330.
7. Gerstenberger PD. Capnography and patient safety for endoscopy. Clin Gastroenterol Hepatol 2010; 8: 423-5.
8. Vargo JJ, Zuccaro G Jr, Dumot JA et al. Automated graphic assessment of respiratory activity is superior to pulse oximetry and visual assessment for the detection of early respiratory depression during therapeutic upper endoscopy. Gastrointest Endosc 2002; 55: 826-31. (Pubitemid 41127897)
9. Burton JH, Harrah JD, Germann CA et al. Does end-tidal carbon dioxide monitoring detect respiratory events prior to current sedation monitoring practices? Acad Emerg Med 2006; 13: 500-4. (Pubitemid 44316642)
10. Machin D, Campbell M, Fayers P et al. Sample Size Tables for Clinical Studies. 2nd edn. Blackwell Science: Malden, 1997.
11. Riphaus A, Rabofski M, Wehrmann T. Endoscopic sedation and monitoring practice in Germany: results from the fi rst nationwide survey. Z Gastroenterol 2010; 48: 392-7.
12. Lightdale JR, Goldmann DA, Feldman HA et al. Microstream capnography improves patient monitoring during moderate sedation: a randomized, controlled trial. Pediatrics 2006; 117: 1170-8.
13. Qadeer MA, Vargo JJ, Dumot JA et al. Capnographic monitoring of respiratory activity improves safety of sedation for endoscopic cholangiopancreatography and ultrasonography. Gastroenterology 2009; 136: 1568-76.
14. Rex DK, Deenadayalu VP, Eid E et al. Endoscopist-directed administration of propofol: a worldwide safety experience. Gastroenterology 2009; 137: 1229-37.
15. Holm C, Christensen M, Rasmussen V et al. Hypoxaemia and myocardial ischaemia during colonoscopy. Scand J Gastroenterol 1998; 33: 769-72. (Pubitemid 28358064)
16. Johnston SD, McKenna A, Th am TC. Silent myocardial ischaemia during endoscopic retrograde cholangiopancreatography. Endoscopy 2003; 35: 1039-42. (Pubitemid 37493027)
17. Jurell KR, O' Connor KW, Slack J et al. Eff ect of supplemental oxygen on cardiopulmonary changes during gastrointestinal endoscopy. Gastrointest Endosc 1994; 40: 665-70. (Pubitemid 24366577)
18. Cot é CJ, Notterman DA, Karl HW et al. Adverse sedation events in pediatrics: a critical incident analysis of contributing factors. Pediatrics 2000; 105: 805-14. (Pubitemid 30219529)
19. Deitch K, Miner J, Chudnofsky CR et al. Does end tidal CO2 monitoring during emergency department procedural sedation and analgesia with propofol decrease the incidence of hypoxic events? A randomized, controlled trial. Ann Emerg Med 2010; 55: 258-64.
20. Waugh JB, Epps CA, Khodneva YA. Capnography enhances surveillance of respiratory events during procedural sedation: a meta-analysis. J Clin Anesth 2011; 23: 189-96.