Capnography During Procedural Sedation and Analgesia with Intramuscular Ketamine in Paediatric Patients

• DOI: 10.4274/cayd.galenos.2020.82621
• Publication Date: 2021-03-25T11:33:09Z
• Authors: Seyedhossein Seye...; Hamideh Akbari; Sepideh Babaniama...; Ehsan Aliniagerdr...; Ehsan Karimialavijeh
• Keywords: Capnography; Respiratory Rate; Pulse Oximetry

Introduction:Capnography is a proven effective tool for procedural sedation and analgesia (PSA); however it hardly available in developing countries like Iran.This study aimed to discover the frequency of hypoventilation paediatric patients who received intramuscular (IM) ketamine evaluate relationship between end-tidal carbon dioxide (ETCO 2 ) changes other vital signs.Methods: This was cross-sectional conducted 2019.Paediatric (under 14 years old) underwent PSA with 5 mg/kg given IM participated this study.ETCO monitored by mainstream CO sensor.Hypoventilation defined as ETCO variation >10 mmHg from baseline.Patients , oxygen saturation (SPO ), pulse rate (PR), respiratory (RR) blood pressure (BP) were continuously recorded.The specificity sensitivity SPO detecting 10 change level calculated.In addition, PR, RR BP grouped based on patients' age (1-3 3-6 years) compared had others.Results: A total 121 enrolled study.The mean ± standard deviation 2.89±1.48years (minimum =1.2 maximum =5.8 years).Nineteen (15.7%) level.In both groups, PR significant difference (p=0.001 1-3 0.003 years). Conclusion:Hypoventilation frequent among ketamine; however, minimal required simple airway manoeuvres.Pulse oximetry not accurate detect small amount hypoventilation.Thus, capnography would provide better monitoring during PSA.