Gastroenterology
Volume 136, Issue 5 , Pages 1568-1576 , May 2009

Capnographic Monitoring of Respiratory Activity Improves Safety of Sedation for Endoscopic Cholangiopancreatography and Ultrasonography

Received 30 September 2008 ,Accepted 5 February 2009.

  • Image Result

    Patient flow through the trial.

    Patient flow through the trial.

  • Image Result

    Kaplan–Meier plots displaying time to hypoxemia with (A) capnography blinded and open arms, subgrouped into (B) ERCP and EUS and (C) obesity and nonobesity.

    Kaplan–Meier plots displaying time to hypoxemia with (A) capnography blinded and open arms, subgrouped into (B) ERCP and EUS and (C) obesity and nonobesity.

 This article has an accompanying continuing medical education activity on page 1819. Learning Objective: After completion of the CME activity successful learners should be able to describe what capnography measures and whether capnography reduces sedation related complication in endoscopic procedures.

 Conflicts of interest These authors disclose the following: Dr Vargo is a consultant for Olympus America, Inc, and has received educational grants from Oridion Systems Ltd, MGI Pharma, Inc, and Ethicon Endosurgery. The remaining authors disclose no conflicts. This study is not sponsored by the manufacturer of a capnography device (Oridion Capnography, Inc, Needham, MA). However, the manufacturer provided the capnographic monitor (Capnostream 20) and specialized bite blocks (Smart BitebloCO2). The manufacturer had no role in study design, data collection, data analysis, or manuscript preparation.

PII: S0016-5085(09)00182-6

doi: 10.1053/j.gastro.2009.02.004

Gastroenterology
Volume 136, Issue 5 , Pages 1568-1576 , May 2009