Paper Chase 2: Capnography During Deep Sedation

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Nurses Edition Commentary

Mel Herbert, MD MBBS FAAEM, Lisa Chavez, RN, and Kathy Garvin, RN
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Mathias T. -

FIWI, I find not using supplemental oxygen during short procedural sedation (as in cardioversion for instance) as a good surrogate to capnography. If the patient desats, that means he's obstructing/hypoventilating. Provides the same information than losing or rising EtCO2, at lower cost.

You lose the security of pre-oxygenation but you know well earlier when ventilation is not great, w/o the cost/complication of capno.

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