Using Capnography to Reduce Hypoxia During Pediatric Sedation
| Status: | Completed |
|---|---|
| Conditions: | Cardiology, Pulmonary |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 1 - 20 |
| Updated: | 1/13/2018 |
| Start Date: | September 2011 |
| End Date: | December 2012 |
Using Capnography to Reduce the Incidence of Hypoxia in Children During Moderate Sedation in the Pediatric Emergency Department: A Randomized Controlled Trial
The investigators hypothesize that the addition of capnography during moderate sedation will
improve recognition of hypoventilation and apnea. This will lead to an increased frequency of
staff interventions such as verbal or physical stimulation for these events in order to
improve ventilation which will in turn lead to a reduction in the frequency of oxygen
desaturations. If capnography proves to be effective in creating earlier detection and
intervention for hypoventilation and apnea during moderate sedation provided by
non-anesthesiologists, this device can be used in a variety of clinical settings to enhance
patient safety.
improve recognition of hypoventilation and apnea. This will lead to an increased frequency of
staff interventions such as verbal or physical stimulation for these events in order to
improve ventilation which will in turn lead to a reduction in the frequency of oxygen
desaturations. If capnography proves to be effective in creating earlier detection and
intervention for hypoventilation and apnea during moderate sedation provided by
non-anesthesiologists, this device can be used in a variety of clinical settings to enhance
patient safety.
Inclusion Criteria:
- Children 1-20 years old who require IV sedation in the Pediatric Emergency Department
at Yale-New Haven Children's Hospital
Exclusion Criteria:
- Unable to tolerate nasal-oral cannula
- Conditions that effect end-tidal carbon dioxide measurement (active asthma, diabetic
ketoacidosis, severe dehydration or trauma)
- Intubation
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