A systematic review of capnography for sedation

Anaesthesia
A ConwayJ R Sutherland

Abstract

We included six trials with 2524 participants. Capnography reduced hypoxaemic episodes, relative risk (95% CI) 0.71 (0.56-0.91), p = 0.02, but the quality of evidence was poor due to high risks of performance bias and detection bias and substantial statistical heterogeneity. The reduction in hypoxaemic episodes was statistically homogeneous in the subgroup of three trials of 1823 adults sedated for colonoscopy, relative risk (95% CI) 0.59 (0.48-0.73), p < 0.001, although the risks of performance and detection biases were high. There was no evidence that capnography affected other outcomes, including assisted ventilation, relative risk (95% CI) 0.58 (0.26-1.27), p = 0.17.

References

Apr 20, 2002·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists
Jul 11, 2006·Current Opinion in Anaesthesiology·Reinette RobbertzeKaren B Domino
Apr 26, 2008·BMJ : British Medical Journal·Gordon H GuyattUNKNOWN GRADE Working Group
Jun 25, 2010·The American Journal of Nursing·Linda Bell
Aug 26, 2010·The American Journal of Nursing·Laura Wallis
Apr 19, 2011·Journal of Clinical Anesthesia·Jonathan B WaughYulia A Khodneva
Sep 3, 2013·Scandinavian Journal of Gastroenterology·Charlotte SlagelseTina I Horsted
Oct 25, 2013·AACN Advanced Critical Care·Sue Sendelbach, Marjorie Funk
Dec 3, 2014·The American Journal of Emergency Medicine·Melissa L LanghanEugene D Shapiro
Dec 17, 2014·British Journal of Anaesthesia·C G Sheahan, D M Mathews
Jul 15, 2015·Systematic Reviews·Aaron ConwayJoanna Sutherland

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Citations

Jun 6, 2018·Current Opinion in Anaesthesiology·Joshua W Sappenfield, Jeffrey D White
Jan 31, 2018·Journal of Continuing Education in Nursing·Taylore D JansenDaiWai M Olson
Dec 14, 2018·AACN Advanced Critical Care·John J Gallagher
Sep 25, 2017·Current Opinion in Anaesthesiology·Stephan Knigge, Klaus Hahnenkamp
Dec 7, 2019·Minerva anestesiologica·Germano De CosmoMiryam Del Vicario
Oct 2, 2019·Journal of Clinical Monitoring and Computing·Aaron ConwayMatteo Parotto
Feb 27, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Sebastian MafeldDheeraj Rajan
Oct 11, 2017·The Journal of Emergency Medicine·Brit LongMichael A Vivirito

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