Identifying Predictors of Airway Complications During Conscious Sedation Procedures
| Autor: | Herschel Knapp, Rosemary Bray |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Advanced and Specialized Nursing
Sleep Apnea Obstructive business.industry Sedation Gastroenterology Conscious Sedation Apnea Airway obstruction medicine.disease Obstructive sleep apnea Airway Compromise Risk Factors Anesthesia Surveys and Questionnaires Heart rate medicine Humans medicine.symptom Airway business Body mass index |
| Zdroj: | Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates. 44(5) |
| ISSN: | 1538-9766 |
| Popis: | Conscious sedation procedures are complicated by unanticipated airway compromise and obstruction. The STOP-Bang questionnaire (University of Toronto, 2012) is a validated obstructive sleep apnea screening questionnaire used as a preprocedure evaluation tool to assess a patient's risk for obstructive sleep apnea. The purpose of this study was to determine whether risk factors for obstructive sleep apnea, using the STOP-Bang questionnaire, could predict procedural airway complications in 152 endoscopy patients following conscious sedation. Logistic regression analysis revealed that a STOP-Bang score of greater than 5 (high risk) predicted a 10% change in heart rate (p = .021), apnea (p = .038), and arousal-relieved airway obstruction (p = .023). Every point of increase in body mass index predicted a 10% change in heart rate (p = .046), a drop in oxygen saturation (p = .002), apnea (p = .003), and 1.212 times the odds of requiring arousal-relieved airway obstruction (p = .002). An intermediate-risk STOP-Bang score (3-4) positively correlated to abnormal carbon dioxide values during the procedure (p = .015). These findings concur with existing literature on the topic and translate to clinical considerations of procedural monitoring protocols for patients with a high probability for airway complications during conscious sedation. |
| Databáze: | OpenAIRE |
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