Mainstream capnography system for nonintubated children in the postanesthesia care unit: Performance with changing flow rates, and a comparison to side stream capnography

Nagoshi, Makoto; Morzov, Rica; Hotz, Justin; Belson, Paula J.; Matar, Marla; Ross, Patrick; Wetzel, Randall C.

doi:10.1111/pan.13003

Cited by 8 publications

(2 citation statements)

References 13 publications

(23 reference statements)

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“…Two studies demonstrated the Masimo RRa product showed greater sensitivity and specificity than thoracic impedance pneumography or capnography by nasal cannula at detecting apneic events [16,17]. The Infant and Pediatric cap-ONE utilizes a mask with mainstream capnography (Nihon Kohden Corporation, Tokyo, Japan) and more accurately monitors carbon dioxide levels in patients without advanced airways when compared to capnography via nasal cannula [18].…”

Section: Monitoring and Equipmentmentioning

confidence: 99%

An update on pediatric sedation techniques in nonoperating room locations

Sobey

Tsai

Evans

2021

Current Opinion in Anaesthesiology

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Purpose of reviewTo review advancements in care for pediatric patients in nonoperating room settings. Recent findingsAdvances in patient monitoring technology, utilization of Child Life specialists, and alternative staffing models are helping anesthesia providers meet the rising demand for coverage of pediatric nonoperating room anesthesia (NORA) cases. The Wake Up Safe and Pediatric Sedation Research Consortium registries are exploring outcome measures regarding the safety of pediatric anesthesia in off-site locations and have reported an increased risk for severe respiratory and cardiac adverse events when compared to OR anesthesia sites. Additionally, malpractice claims for NORA have a higher proportion of claims for death than claims in operating rooms. SummaryPediatric NORA requires thorough preparation, flexibility, and vigilance to provide safe anesthesia care to children in remote locations. Emerging techniques to reduce anesthetic exposure, improve monitoring, and alternative staffing models are expanding the boundaries of pediatric NORA to provide a safer, more satisfying experience for diagnostic and interventional procedures.

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Section: Monitoring and Equipmentmentioning

confidence: 99%

An update on pediatric sedation techniques in nonoperating room locations

Sobey

Tsai

Evans

2021

Current Opinion in Anaesthesiology

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“…40 New devices are under development and are being tested for use with a facemask or mouthpiece in children and infants. [41][42][43]…”

Section: Mainstream Capnometry and Capnographymentioning

confidence: 99%

Continuous Noninvasive Carbon Dioxide Monitoring in Neonates: From Theory to Standard of Care

et al. 2019

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Ventilatory support may affect the short- and long-term neurologic and respiratory morbidities of preterm infants. Ongoing monitoring of oxygenation and ventilation and control of adequate levels of oxygen, pressures, and volumes can decrease the incidence of such adverse outcomes. Use of pulse oximetry became a standard of care for titrating oxygen delivery, but continuous noninvasive monitoring of carbon dioxide (CO2) is not routinely used in NICUs. Continuous monitoring of CO2 level may be crucial because hypocarbia and hypercarbia in extremely preterm infants are associated with lung and brain morbidities, specifically bronchopulmonary dysplasia, intraventricular hemorrhage, and cystic periventricular leukomalacia. It is shown that continuous monitoring of CO2 levels helps in maintaining stable CO2 values within an accepted target range. Continuous monitoring of CO2 levels can be used in the delivery room, during transport, and in infants receiving invasive or noninvasive respiratory support in the NICU. It is logical to hypothesize that this will result in better outcome for extremely preterm infants. In this article, we review the different noninvasive CO2 monitoring alternatives and devices, their advantages and disadvantages, and the available clinical data supporting or negating their use as a standard of care in NICUs.

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