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Capnography Monitoring for Patients Undergoing Moderate Sedation

An SGNA Fellowship Project

Kummer, Deborah Jo BSN, RN, CGRN; Walden, Bonnie J. MS, RN, CNL

doi: 10.1097/SGA.0000000000000426
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The purpose of this Society of Gastroenterology Nurses and Associates Fellowship project was to determine whether capnography is more accurate than oximetry in identifying symptoms of respiratory depression in patients undergoing moderate sedation. Capnography provides an early warning of respiratory depression and airway compromise, especially when the medications used for sedation include opiates and benzodiazepines. It is a standard of care according to the American Society of Anesthesiologists that should be adopted in order to provide the safest possible environment for the delivery of moderate sedation. During this project, the nursing staff were educated on the importance and usage of capnography. Evidence was gathered that helped show that by using capnography, nurses were able to identify signs of respiratory depression earlier and more frequently than with the use of oximetry and cardiac monitoring alone.

Deborah Jo Kummer, BSN, RN, CGRN, is School Nurse, Hillel Community Day School, Rochester, New York; and previously, Staff Nurse, Highland Hospital Procedure Center, University of Rochester Medical Center, Rochester, New York.

Bonnie J. Walden, MS, RN, CNL, is Professor of Nursing, Nazareth College, Rochester, New York; and previously, Clinical Nurse Specialist, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, New York.

Correspondence to: Deborah Jo Kummer, BSN, RN, CGRN, Hillel Community Day School, 191 Fairfield Dr, Rochester, NY 14620 (deborahjokummer@gmail.com).

The authors declare no conflicts of interest.

Received March 28, 2018

Accepted July 24, 2018

© 2019 by the Society of Gastroenterology Nurses and Associates, Inc.