Satellite symposium

Satellite Symposium by

Patient Safety: Use of Capnography Monitoring during Procedural Sedation with Pediatric Patients
Details: Date: 13 November 2021, Saturday
Time: 1300-1400
Synopsis: Procedural sedation of pediatric patients has serious associated risks. These adverse effects during and after sedation for a diagnostic or therapeutic procedure may be minimized, but not completely eliminated, by a careful pre-procedure review of the patient’s underlying medical conditions and consideration of how the sedation process might affect or be affected by different conditions. Appropriate physiologic monitoring and continuous observation by personnel often outside procedure area allows for the accurate and rapid diagnosis of complications and initiation of appropriate rescue interventions. Expired carbon dioxide monitoring is valuable to diagnose the simple presence or absence of respirations, airway obstruction, or respiratory depression, particularly in patients sedated in less-accessible locations, such as in MRI scanners or darkened rooms. In patients receiving supplemental oxygen, capnography facilitates the recognition of apnea or airway obstruction several minutes before the situation would be detected with by pulse oximetry alone. In this situation, desaturation would be delayed due to increased oxygen reserves; capnography would enable earlier intervention.

This talk will focus mainly on the Safety aspects of procedural sedation with Pediatric Patients with the use of Capnography. In addition, as over the past decade concerns about the effects of anesthesia on the developing brain have sometimes influenced the choice of medications used during anesthesia and sedation. We will also review the history of these concerns as well as provide reassuring information for families that may express these concerns.
Faculty: Dr. Christopher Ward is an anesthesiologist in Philadelphia, PA and is affiliated with the Children's Hospital of Philadelphia and the Hospital of the University of Pennsylvania. He received his medical degree from Sidney Kimmel Medical College and has been in practice 13 years. He specializes in pediatric anesthesiology and has interests involving anesthesia for neurosurgery, anesthesia for patients with difficult airways, and the care of patients with epidermolysis bollusa. His research interests also include the effects of anesthetic drugs on the developing brain.