Recent advances in respiratory monitory in nonoperating room anesthesia

Current Opinion in Anaesthesiology
Jeff E Mandel

Abstract

Sedation for nonoperating room procedures is experiencing a considerable increase in demand. Respiratory compromise is one of the most common adverse events seen in sedation. Capnography is a modality that has been widely adopted in this area, but may not be well suited to the special demands of nonoperating room sedation. This review is an assessment of new technologies that may improve outcomes beyond those achievable with capnography. New devices for detecting the onset of apnea and for assessing respiratory depression have emerged which have advantages over conventional capnography for detecting apnea without excessive false positive and false negative rates. In addition, monitors that assess respiratory drive have become available, and these may prove useful in regulating depth of sedation. No single monitor is ideal for all settings. During brief endoscopic sedation, detection of apnea is paramount, while during longer procedures, avoiding excessive respiratory depression is more critical. The clinician must choose the appropriate monitor based on an understanding of the challenges of the particular environment.

References

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Citations

May 7, 2020·Current Opinion in Anaesthesiology·Christopher Tan Setiawan, Mary Landrigan-Ossar
Jul 4, 2020·Current Opinion in Anaesthesiology·Duk Kyung Kim
May 23, 2021·Respiratory Research·Barak PertzovMordechai R Kramer
May 28, 2021·Current Opinion in Anaesthesiology·Jenna SobeyRebecca E Evans

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Methods Mentioned

BETA
sedation
feature extraction

Software Mentioned

Respiratory Motion ExSpiron
SenTec
Uber
ExSpiron

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