Electrical cardioversion of atrial fibrillation: Evaluation of sedation safety with midazolam by means of EtCO2 and IPI algorithm analysis

Sabbatani, Paolo; Mantovan, Roberto

doi:10.1016/j.ijcard.2013.10.015

Cited by 12 publications

(10 citation statements)

References 10 publications

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“…Midazolam, on the other hand, was associated with a lower reduction in systolic blood pressure when compared to propofol. This finding confirms the safe hemodynamical profile of midazolam, already known from previous literature [23][24][25]. In fact, drops in arterial blood pressure after midazolam administration were inconstantly reported, and mainly described as transient or clinically not significant [16].…”

Section: Discussionsupporting

confidence: 89%

Feasibility of a cardiologist-only approach to sedation for electrical cardioversion of atrial fibrillation: A randomized, open-blinded, prospective study

Guerra

Pavoni

Romandini

et al. 2014

International Journal of Cardiology

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Section: Discussionsupporting

confidence: 89%

Feasibility of a cardiologist-only approach to sedation for electrical cardioversion of atrial fibrillation: A randomized, open-blinded, prospective study

Guerra

Pavoni

Romandini

et al. 2014

International Journal of Cardiology

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“…Although The IPI index has been validated for adults and for children older than 1 year of age [12,[30][31][32][33] these studies are on relatively small samples and cannot be considered as definitive.…”

Section: Introductionmentioning

confidence: 99%

The value of Integrated Pulmonary Index (IPI) monitoring during endoscopies in children

Garah

Adiv

Rosen

et al. 2015

J Clin Monit Comput

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The Integrated Pulmonary Index (IPI) is an algorithm included in commercially available monitors that constitutes a representation of 4 parameters: EtCO2, RR, SpO2 and PR. The IPI index has been validated for adults and children older than 1 year of age. In this study we aimed to study the value of IPI monitoring during pediatric endoscopic procedures. Our data consisted of 124 measurements of 109 patients undergoing different procedures (upper endoscopy 84 patients, colonoscopy 6 patients, both 9 patients). The data was divided into 3 groups based on the drug type used: propofol only, 5 patients (group 1); propofol & midazolam, 89 patients (group 2); propofol, midazolam and Fentanyl, 15 patients (group 3). Patients in group 2 and 3 had significantly higher IPI levels than group 1. Significantly lower IPI values were found between ages 4-6 compared to 7-12 years old. High midazolam dose was associated with lower IPI levels during the procedure. No significant differences were found for propofol doses. Patients who had an anesthetist present had lower IPI levels during the procedure compared to those who did not. No differences were noted between the different procedures. IPI alerted all apnea episodes (58 events, IPI = 1) and hypoxia (26 events, IPI ≤ 3) episodes, whereas pulse oximetry captured only the hypoxia episodes (IPI sensitivity = 1, specificity 0.98, positive predictive value 0.95). Younger patient age, use of propofol alone, higher midazolam doses and presence of anesthetist are all associated with lower IPI levels.

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“…8 45 patients with atrial fibrillation in whom electrical external cardioversion would be applied were enrolled in the study.…”

Section: Discussionmentioning

confidence: 99%

Correlation of integrated pulmonary index with clinical observation in unilateral and bilateral spinal anaesthesia in geriatric patients

et al. 2016

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Electrical cardioversion of atrial fibrillation: Evaluation of sedation safety with midazolam by means of EtCO2 and IPI algorithm analysis

Cited by 12 publications

References 10 publications

Feasibility of a cardiologist-only approach to sedation for electrical cardioversion of atrial fibrillation: A randomized, open-blinded, prospective study

Feasibility of a cardiologist-only approach to sedation for electrical cardioversion of atrial fibrillation: A randomized, open-blinded, prospective study

The value of Integrated Pulmonary Index (IPI) monitoring during endoscopies in children

Correlation of integrated pulmonary index with clinical observation in unilateral and bilateral spinal anaesthesia in geriatric patients

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