Capnographic monitoring using a novel mainstream system during endoscopic ultrasound and endoscopic retrograde cholangiopancreatography: A prospective randomized controlled trial.

• Tác giả: Fateh Bazerbachi, Seiichiro Fukuhara, Masayasu Horibe, Eisuke Iwasaki, Takanori Kanai, Shintaro Kawasaki, Tatsuhiro Masaoka, Kazuhiro Minami, Haruhiko Ogata, Yoichi Takimoto
• Ngôn ngữ: eng
• Thông tin xuất bản: Japan : Journal of hepato-biliary-pancreatic sciences , 2025
• Bộ sưu tập: NCBI
• ID: 721007

Tóm tắt

 BACKGROUND/PURPOSE: Insufficient studies exist on capnography efficacy during endoscopic ultrasound or endoscopic retrograde cholangiopancreatography, and no definitive conclusions have been drawn. To evaluate the feasibility and efficacy of a novel mainstream capnography using an over-the-biteblock end-tidal CO METHODS: Patients undergoing EUS or ERCP with conscious sedation at a single Japanese center were randomized to a control or a novel capnography monitored (intervention) group in a 1:1 ratio. Hypoxemia correction maneuvers were pursued if the oxygen saturation decreased to <
 92% in the control or intervention group and if a 15-s suspension of EtCO RESULTS: In total, 250 patients were enrolled without dropouts or missing data (control group: 125
  capnography group: 125). There was no significant difference in the incidence of hypoxemia between the control and capnography groups (29.6% [37/125] vs. 26.4% [33/125]
  p = .573). The estimated odds ratio was 0.925 (95% confidence interval: 0.708-1.208). The EtCO CONCLUSIONS: Although the novel mainstream capnography with an over-the-biteblock EtCO