Complication of Anesthesia
Conditions
Brief summary
This randomized controlled study investigated the effect of end-tidal carbon dioxide monitoring in pediatric patients undergoing minimal sedation.
Interventions
OTHERend tidal carbon dioxide monitoring
We will monitor end tidal carbon dioxide with capnography during minimal sedation
Sponsors
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No
Inclusion criteria
* pediatric patients undergoing minimal sedation for procedure.
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of oxygen desaturation | from immediately after sedation to end of procedure, up to 2 hours | oxygen saturation lower than 95% |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Severe oxygen desaturation | from immediately after sedation to end of procedure, up to 2 hours | oxygen saturation lower than 85%, 90% |
| Lowest oxygen saturation | from immediately after sedation to end of procedure, up to 2 hours | value of oxygen saturation |
| Episode of apnea | from immediately after sedation to end of procedure, up to 2 hours | capnography flat line more than 5 seconds |
| sedation level | from immediately after sedation to end of procedure, up to 2 hours | 6-point pediatric sedation state scale |
| inappropriate monitoring | from immediately after sedation to end of procedure, up to 2 hours | the duration of inappropriate capnography monitoring |
| number of Staff intervetions | from immediately after sedation to end of procedure, up to 2 hours | tactile stimulation, jaw thrust or head tilt, suction, oral or nasopharyngeal airway insertion, oxygen supply, laryngeal mask airway insertion, bag-valve mask ventilation, endotracheal intubation |
| Integrated pulmonary index | from immediately after sedation to end of procedure, up to 2 hours | calculated parameter |
| success of procedure | from immediately after sedation to end of procedure, up to 2 hours | success or fail of sedation or procedure |
| Hemodynamic instability | from immediately after sedation to end of procedure, up to 2 hours | heart rate and blood pressure change more than 20% |
| Medication | from immediately after sedation to end of procedure, up to 2 hours | type and dosage of sedatives |
| Airway obstruction | from immediately after sedation to end of procedure, up to 2 hours | stridor, retraction |
Countries
South Korea
Outcome results
None listed