Techniques in Gastrointestinal Endoscopy
Volume 11, Issue 4 , Pages 164-170 , October 2009

Extended monitoring in gastroenterology: capnography, monitoring depth of sedation, and computer-assisted propofol sedation

  • D. John Doyle, MD, PhD, FRCPC

      Affiliations

    • Corresponding Author InformationAddress reprint requests to D. John Doyle, MD, PhD, FRCPC, Cleveland Clinic, Lerner College of Medicine of Case Western Reserve University, Department of General Anesthesiology, Cleveland Clinic, 9500 Euclid Avenue, E31, Cleveland, OH 44195

References 

  1. Vargo JJ, Zuccaro G, 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;55:826–831
  2. Froehlich F, Milliet N. Propofol sedation during endoscopic procedures in private practice: the case for capnography to make 1-nurse endoscopy acceptable. Gastrointest Endosc. 2008;67:1008
  3. Wilkinson JN, Thanawala VU. Thoracic impedance monitoring of respiratory rate during sedation—Is it safe?. Anaesthesia. 2009;64:455–456
  4. Leino K, Nunes S, Valta P. Validation of a new respiratory inductive plethysmograph. Acta Anaesthesiol Scand. 2001;45:104–111
  5. Baulig W, Schütt P, Roth HR, et al. Clinical validation of a digital transcutaneous Pco2/Spo2 ear sensor in adult patients after cardiac surgery. J Clin Monit Comput. 2007;21:303–309
  6. Imagawa A, Fujiki S, Kawahara Y, et al. Satisfaction with bispectral index monitoring of propofol-mediated sedation during endoscopic submucosal dissection: a prospective, randomized study. Endoscopy. 2008;40:905–909
  7. DeWitt JM. Bispectral index monitoring for nurse-administered propofol sedation during upper endoscopic ultrasound: a prospective, randomized controlled trial. Dig Dis Sci. 2008;53:2739–2745
  8. Chen SC, Rex DK. An initial investigation of bispectral monitoring as an adjunct to nurse-administered propofol sedation for colonoscopy. Am J Gastroenterol. 2004;99:1081–1086
  9. Pambianco DJ, Whitten CJ, Moerman A, et al. An assessment of computer-assisted personalized sedation: a sedation delivery system to administer propofol for gastrointestinal endoscopy. Gastrointest Endosc. 2008;68:542–547

 The author reports no direct financial interests that might pose a conflict of interest in connection with the submitted manuscript.

PII: S1096-2883(09)00077-1

doi: 10.1016/j.tgie.2009.09.001

Techniques in Gastrointestinal Endoscopy
Volume 11, Issue 4 , Pages 164-170 , October 2009

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