INTRODUCTION:
The anesthesia-operator model for delivering sedation and general anesthesia in the office-based ambulatory outpatient setting is a hallmark of oral and maxillofacial surgery (OMS). Office–based anesthesia is safe and has a high level of patient satisfaction.[1] Closed-claims data from Oral and Maxillofacial Surgeons National Insurance Company (OMSNIC), however, indicate that the most frequent reason for transfer of a sedated patient to an emergency room was respiratory distress.[2]
Capnography is a non-invasive and real time monitor of ventilatory status and has been shown to be effective in early detection of hypoventilation, respiratory depression and adverse respiratory events, enabling remedial measures to be taken to reverse or correct critical condition.[3] Capnography monitoring has been in routine use in hospital operating rooms since 1988.[4] Despite this significant contribution to patient safety, use of capnography monitoring is not universal in clinical areas outside the operating theatre and varies from practice to practice.[5]
The American Society of Anesthesiologists (ASA), Association of Anesthetists of Great Britain and Ireland, and American Heart Association revised and updated their recommendations on the use of capnography outside of the operating room for moderate or deep …show more content…
The practice patterns among American oral and maxillofacial surgeons regarding capnography use for patient monitoring has not been studied. The purpose of this study was to describe practice patterns of American private oral and maxillofacial surgeons regarding their use of capnography prior to AAOMS mandate. The authors hypothesized that there exist multiple factors that may influence a clinician’s choice to use capnography to monitor anesthetized patient in office-based ambulatory anesthesia setting. The specific aims of this study
The anesthesia-operator model for delivering sedation and general anesthesia in the office-based ambulatory outpatient setting is a hallmark of oral and maxillofacial surgery (OMS). Office–based anesthesia is safe and has a high level of patient satisfaction.[1] Closed-claims data from Oral and Maxillofacial Surgeons National Insurance Company (OMSNIC), however, indicate that the most frequent reason for transfer of a sedated patient to an emergency room was respiratory distress.[2]
Capnography is a non-invasive and real time monitor of ventilatory status and has been shown to be effective in early detection of hypoventilation, respiratory depression and adverse respiratory events, enabling remedial measures to be taken to reverse or correct critical condition.[3] Capnography monitoring has been in routine use in hospital operating rooms since 1988.[4] Despite this significant contribution to patient safety, use of capnography monitoring is not universal in clinical areas outside the operating theatre and varies from practice to practice.[5]
The American Society of Anesthesiologists (ASA), Association of Anesthetists of Great Britain and Ireland, and American Heart Association revised and updated their recommendations on the use of capnography outside of the operating room for moderate or deep …show more content…
The practice patterns among American oral and maxillofacial surgeons regarding capnography use for patient monitoring has not been studied. The purpose of this study was to describe practice patterns of American private oral and maxillofacial surgeons regarding their use of capnography prior to AAOMS mandate. The authors hypothesized that there exist multiple factors that may influence a clinician’s choice to use capnography to monitor anesthetized patient in office-based ambulatory anesthesia setting. The specific aims of this study