Opioid Safety, Respiratory Compromise

Nursing Recommendations on How Capnography Improves Patient Safety Sunnybrook Health Sciences Centre monitors patients with capnography during procedural sedation

Nursing recommendations from ARIN and AORN encouraged Sunnybrook Health Sciences Centre to monitor with capnography patients undergoing procedural sedation.

In a podcast with the Physician-Physician Alliance for Health Safety, Barbara McArthur, RN, BScN, CPN(C), an advanced practice nurse at Sunnybrook Health Sciences Centre in Toronto, Canada, discussed why Sunnybrook Health Sciences Centre decided to monitor with capnography.

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Opioid Safety, Respiratory Compromise

Keeping Patients Safe During Moderate Sedation

There are millions of medical procedures involving conscious or moderate sedation completed each year. In 2002, for example, there were 14.2 million colonoscopies performed. According to the U.S. National Library of Medicine, some of the moderate sedation procedures include:

  • Breast biopsy
  • Dental prosthetic or reconstructive surgery
  • Minor bone fracture repair
  • Minor foot surgery
  • Minor skin surgery
  • Plastic or reconstructive surgery
  • Procedures to diagnose and treat some stomach (upper endoscopy), colon (colonoscopy), lung (bronchoscopy), and bladder (cystoscopy) conditions.

In order to ensure the safety of patients undergoing procedures requiring moderate sedation, in January 2016, the Association for Radiologic & Imaging Nursing (ARIN) issued a Position Statement on Use of Capnography for Patients Who Receive Moderate Sedation/Analgesia.
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