The Implementation of a Capnography Monitoring System during Endoscopic Procedures within an Outpatient Setting
INTRO: Capnography is recommended by both regulatory and accreditation agencies, as well as professional organizations, during the performance of procedures requiring anesthesia. Risk factors, such as obstructive sleep apnea [OSA] and comorbid conditions, such as heart and lung diseases, prompt the need for the initial implementation of a capnography monitoring system during procedural sedation within an outpatient endoscopy setting. The methodology recommended within this research utilization project involves the institution of a pilot study conducted within an outpatient endoscopy setting to determine the effectiveness of the capnography monitoring system to depict the early detection of hypoxemia. The literature supports the concomitant use of capnography in addition to the use of pulse oximetry to provide the early detection of hypoxemia during propofol sedation. The proposed goal of the healthcare organization is to implement the use of capnography within other outpatient venues, such as diagnostic and urgent care centers in addition to inpatient setting, including critical care and the general floors that contain patients who use prescribed patient controlled analgesia [PCA] to manage pain after surgery.
Baptist Health South Florida Affiliations:
Galloway Endoscopy Center
White, S. P. (2015). The implementation of a capnography monitoring system during endoscopic procedures within an outpatient setting. EndoNurse 15(2), 24-32.
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