La seguridad del paciente durante sedación mediante monitorización de capnografía: una revisión sistemática y meta-análisis.
Patient safety during procedural sedation using capnography monitoring: a systematic review and meta-analysis.
BMJ Open. 2017 Jun 30;7(6):e013402. doi: 10.1136/bmjopen-2016-013402.
Abstract
OBJECTIVE: To evaluate the effect of capnography monitoring on sedation-related adverse events during procedural sedation and analgesia (PSA) administered for ambulatory surgery relative to visual assessment and pulse oximetry alone.
CONCLUSIONS: Meta-analysis of 13 RCTs published between 2006 and 2016 showed a reduction in respiratory compromise (from respiratory insufficiency to failure) during PSA with the inclusion of capnography monitoring. In particular, use of capnography was associated with less mild and severe oxygen desaturation, which may have helped to avoid the need for assisted ventilation.
KEYWORDS: Ambulatory surgery; Capnography; Meta-analysis; Procedural sedation
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