A national survey of capnography utilization among anaesthesiologists in Indonesia

Ramlan, Andi Ade Wijaya; Lestari, Mayang Indah; Banadji, Yasir; Arif, Syafri Kamsul

doi:10.1016/j.tacc.2021.06.004

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Sixty-eight percent never used capnography for monitoring during procedural sedation. 95 Outside the OR: ICU, ED, PACU, and Surgical Wards In contrast to HIC ORs, capnography use is inconsistent outside HIC ORs. Despite NAP4's findings and strong recommendations, capnography use remains far from universal across ICUs and EDs in the United Kingdom.…”

Section: Capnography In Current Guidelinesmentioning

confidence: 99%

Capnography—An Essential Monitor, Everywhere: A Narrative Review

Wollner,

Nourian,

Bertille

et al. 2023

Anesthesia &Amp; Analgesia

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Capnography is now recognized as an indispensable patient safety monitor. Evidence suggests that its use improves outcomes in operating rooms, intensive care units, and emergency departments, as well as in sedation suites, in postanesthesia recovery units, and on general postsurgical wards. Capnography can accurately and rapidly detect respiratory, circulatory, and metabolic derangements. In addition to being useful for diagnosing and managing esophageal intubation, capnography provides crucial information when used for monitoring airway patency and hypoventilation in patients without instrumented airways. Despite its ubiquitous use in high-income-country operating rooms, deaths from esophageal intubations continue to occur in these contexts due to incorrect use or interpretation of capnography. National and international society guidelines on airway management mandate capnography’s use during intubations across all hospital areas, and recommend it when ventilation may be impaired, such as during procedural sedation. Nevertheless, capnography’s use across high-income-country intensive care units, emergency departments, and postanesthesia recovery units remains inconsistent. While capnography is universally used in high-income-country operating rooms, it remains largely unavailable to anesthesia providers in low- and middle-income countries. This lack of access to capnography likely contributes to more frequent and serious airway events and higher rates of perioperative mortality in low- and middle-income countries. New capnography equipment, which overcomes cost and context barriers, has recently been developed. Increasing access to capnography in low- and middle-income countries must occur to improve patient outcomes and expand universal health care. It is time to extend capnography’s safety benefits to all patients, everywhere.

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Section: Capnography In Current Guidelinesmentioning

confidence: 99%