Perioperative Critical Care | Technology & Monitoring in Anesthesiology | General Pharmacology
Evolution of vital parameters during endoscopist-controlled sedation in patients breathing room air
AF Kalmar*, Kai Van Amsterdam, Mendy K Driesens, Nathalie FA Cosseddu, Michel MRF Struys
*Corresponding author: AF Kalmar
Anaesthesiology, University Medical Center Groningen (UMCG), Groningen, Netherlands
F1000Posters 2013, 4: 80 (poster) [English]
Poster [0 KB]
Anesthesiology 2011, 14 - 18 Oct 2011, P000
University Medical Center Groningen (UMCG)
Sedation using a combination of opiates and benzodiazepines during colonoscopy improves patient comfort, facilitates the endoscopy and is still commonly used. However, the risk for hypoxemia, hypoventilation and pulmonary aspiration mandates dedicated monitoring.
Sedation with midazolam/pethidine caused significant hypoxia, hypercapnia and hypoventilation caused by dead space ventilation. Combined monitoring of CO 2 and SpO2 is required during sedation.
No relevant competing interests disclosed.
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