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.

Design and setting: Systematic literature review and random effects meta-analysis of randomised controlled trials (RCTs) reporting sedation-related adverse event incidence when adding capnography to visual assessment and pulse oximetry in patients undergoing PSA during ambulatory surgery in the hospital setting. Searches for eligible studies published between 1 January 1995 and 31 December 2016 (inclusive) were conducted in PubMed, the Cochrane Library and EMBASE without any language constraints. Searches were conducted in January 2017, screening and data extraction were conducted by two independent reviewers, and study quality was assessed using a modified Jadad scale.

Interventions: Capnography monitoring relative to visual assessment and pulse oximetry alone.

Primary and secondary outcome measures: Predefined endpoints of interest were desaturation/hypoxaemia (the primary endpoint), apnoea, aspiration, bradycardia, hypotension, premature procedure termination, respiratory failure, use of assisted/bag-mask ventilation and death during PSA.

Results: The literature search identified 1006 unique articles, of which 13 were ultimately included in the meta-analysis. Addition of capnography to visual assessment and pulse oximetry was associated with a significant reduction in mild (risk ratio (RR) 0.77, 95% CI 0.67 to 0.89) and severe (RR 0.59, 95% CI 0.43 to 0.81) desaturation, as well as in the use of assisted ventilation (OR 0.47, 95% CI 0.23 to 0.95). No significant differences in other endpoints were identified.

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.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Bradycardia / etiology
  • Capnography / statistics & numerical data*
  • Conscious Sedation / adverse effects*
  • Deep Sedation / adverse effects*
  • Humans
  • Monitoring, Physiologic
  • Oximetry
  • Patient Safety*
  • Randomized Controlled Trials as Topic
  • Respiration, Artificial / statistics & numerical data
  • Respiratory Insufficiency / etiology