New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Anestesiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000200134 |
Resumo: | Abstract Introduction: Currently, transesophageal echodopplercardiography is frequently performed under sedation on an outpatient basis. Sedation is related with increase in incidents on airways. Bearing in mind this scenario, we developed a new double lumen oropharyngeal cannula aimed at keeping airway patency, in addition to reducing risks to patients during endoscopy procedures performed under sedation. The main objective of our study was to assess the incidence of oxygen desaturation in a series of cases of adult patients submitted to outpatient transesophageal echo exam, under sedation and using the oropharyngeal cannula. Method: 30 patients under sedation with intravenous midazolam and propofol were assessed. After loss of consciousness, the cannula was placed and patients were maintained on spontaneous breathing. Oxygen saturation, capnometry, heart rate and non-invasive arterial blood pressure, in addition to subjective data: airway patency, handling of cannula insertion and, comfort of examiner were analyzed. Results: The incidence of mild desaturation was 23.3%, and there was no severe desaturation in any of the cases. The insertion of the oropharyngeal cannula was considered easy for 29 patients (96.6%), and transesophageal echo probe handling was appropriate in 93.33% of exams performed. Conclusions: Transesophageal echo exams under sedation aided by the double-lumen oropharyngeal cannula presented a low incidence of desaturation in patients assessed, and allowed analysis of expired CO2 during the exams. |
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New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case seriesDouble lumen cannulaTransesophageal echocardiographySedationAmbulatory anesthesiaSpontaneous ventilationAbstract Introduction: Currently, transesophageal echodopplercardiography is frequently performed under sedation on an outpatient basis. Sedation is related with increase in incidents on airways. Bearing in mind this scenario, we developed a new double lumen oropharyngeal cannula aimed at keeping airway patency, in addition to reducing risks to patients during endoscopy procedures performed under sedation. The main objective of our study was to assess the incidence of oxygen desaturation in a series of cases of adult patients submitted to outpatient transesophageal echo exam, under sedation and using the oropharyngeal cannula. Method: 30 patients under sedation with intravenous midazolam and propofol were assessed. After loss of consciousness, the cannula was placed and patients were maintained on spontaneous breathing. Oxygen saturation, capnometry, heart rate and non-invasive arterial blood pressure, in addition to subjective data: airway patency, handling of cannula insertion and, comfort of examiner were analyzed. Results: The incidence of mild desaturation was 23.3%, and there was no severe desaturation in any of the cases. The insertion of the oropharyngeal cannula was considered easy for 29 patients (96.6%), and transesophageal echo probe handling was appropriate in 93.33% of exams performed. Conclusions: Transesophageal echo exams under sedation aided by the double-lumen oropharyngeal cannula presented a low incidence of desaturation in patients assessed, and allowed analysis of expired CO2 during the exams.Sociedade Brasileira de Anestesiologia2020-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000200134Revista Brasileira de Anestesiologia v.70 n.2 2020reponame:Revista Brasileira de Anestesiologia (Online)instname:Sociedade Brasileira de Anestesiologia (SBA)instacron:SBA10.1016/j.bjane.2020.04.019info:eu-repo/semantics/openAccessNigro Neto,CaetanoBezerra,Francisco José LucenaBarreto,Rodrigo Bellio de MattosLe Bihan,David Costa de SouzaNascimento,Vinicius Tadeu Nogueira da Silva doSouza,Ingrid Caroline Baia deeng2020-08-07T00:00:00Zoai:scielo:S0034-70942020000200134Revistahttps://www.sbahq.org/revista/https://old.scielo.br/oai/scielo-oai.php||sba2000@openlink.com.br1806-907X0034-7094opendoar:2020-08-07T00:00Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA)false |
dc.title.none.fl_str_mv |
New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series |
title |
New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series |
spellingShingle |
New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series Nigro Neto,Caetano Double lumen cannula Transesophageal echocardiography Sedation Ambulatory anesthesia Spontaneous ventilation |
title_short |
New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series |
title_full |
New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series |
title_fullStr |
New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series |
title_full_unstemmed |
New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series |
title_sort |
New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series |
author |
Nigro Neto,Caetano |
author_facet |
Nigro Neto,Caetano Bezerra,Francisco José Lucena Barreto,Rodrigo Bellio de Mattos Le Bihan,David Costa de Souza Nascimento,Vinicius Tadeu Nogueira da Silva do Souza,Ingrid Caroline Baia de |
author_role |
author |
author2 |
Bezerra,Francisco José Lucena Barreto,Rodrigo Bellio de Mattos Le Bihan,David Costa de Souza Nascimento,Vinicius Tadeu Nogueira da Silva do Souza,Ingrid Caroline Baia de |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Nigro Neto,Caetano Bezerra,Francisco José Lucena Barreto,Rodrigo Bellio de Mattos Le Bihan,David Costa de Souza Nascimento,Vinicius Tadeu Nogueira da Silva do Souza,Ingrid Caroline Baia de |
dc.subject.por.fl_str_mv |
Double lumen cannula Transesophageal echocardiography Sedation Ambulatory anesthesia Spontaneous ventilation |
topic |
Double lumen cannula Transesophageal echocardiography Sedation Ambulatory anesthesia Spontaneous ventilation |
description |
Abstract Introduction: Currently, transesophageal echodopplercardiography is frequently performed under sedation on an outpatient basis. Sedation is related with increase in incidents on airways. Bearing in mind this scenario, we developed a new double lumen oropharyngeal cannula aimed at keeping airway patency, in addition to reducing risks to patients during endoscopy procedures performed under sedation. The main objective of our study was to assess the incidence of oxygen desaturation in a series of cases of adult patients submitted to outpatient transesophageal echo exam, under sedation and using the oropharyngeal cannula. Method: 30 patients under sedation with intravenous midazolam and propofol were assessed. After loss of consciousness, the cannula was placed and patients were maintained on spontaneous breathing. Oxygen saturation, capnometry, heart rate and non-invasive arterial blood pressure, in addition to subjective data: airway patency, handling of cannula insertion and, comfort of examiner were analyzed. Results: The incidence of mild desaturation was 23.3%, and there was no severe desaturation in any of the cases. The insertion of the oropharyngeal cannula was considered easy for 29 patients (96.6%), and transesophageal echo probe handling was appropriate in 93.33% of exams performed. Conclusions: Transesophageal echo exams under sedation aided by the double-lumen oropharyngeal cannula presented a low incidence of desaturation in patients assessed, and allowed analysis of expired CO2 during the exams. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000200134 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000200134 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.bjane.2020.04.019 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Anestesiologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Anestesiologia v.70 n.2 2020 reponame:Revista Brasileira de Anestesiologia (Online) instname:Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA |
instname_str |
Sociedade Brasileira de Anestesiologia (SBA) |
instacron_str |
SBA |
institution |
SBA |
reponame_str |
Revista Brasileira de Anestesiologia (Online) |
collection |
Revista Brasileira de Anestesiologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Anestesiologia (Online) - Sociedade Brasileira de Anestesiologia (SBA) |
repository.mail.fl_str_mv |
||sba2000@openlink.com.br |
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1752126630581501952 |