Anesthesia Techniques and Monitors

Capnography enhances surveillance of respiratory events during procedural sedation: a meta-analysis

Waugh JB, Epps CA, Khodneva YA (Univ of Alabama at Birmingham) J Clin Anesth 23:189-196, 2011^§

Abstract

Study Objective

To determine if capnography, in addition to standard monitoring, identified more respiratory complications than standard monitoring alone.

Design

Meta-analysis.

Setting

University medical center.

Measurements

The electronic databases PubMed, CINAHL, and Cochrane Library (Cochrane Reviews, CENTRAL) were searched for studies published between 1995-2009 reporting adverse respiratory events during procedural sedation and analgesia (PSA) with clearly defined end-tidal carbon dioxide threshold, adult population, clear study design, P-value calculation, similar outcome and predictor variable definitions, and binary independent and dependent variable raw data. Five such studies were evaluated independently. A meta-analysis of these studies was performed.

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