ated patie f sed nts o ng T O itori on ®

Management of sedation Sedation Respiratory depression • bstruction of the pharynx in upper endoscopy O • haryngeal anesthesia associated with upper endoscopy P • echanical diaphragmatic discomfort during colonoscopy M (abdominal compression, air insufflation) • Risks related to the clinical conditions of the patient (obesity, ASA III ...) HYPOXIA Prevention by : • Administration of oxygen • Freeing of airways Oxygenating bite-block + tongue depressor Nasal oxygen cannulae + Guedel airway • tudies have demonstrated the interest of EtCO2 monitoring for sedated patients to S more quickly detect...

Safety-Guard®, one device, more safety Guarantees free access to the mouth Protection of the teeth and the endoscope • Placement of tongue depressor Oxygenation channel • Oxygenation above the vocal cords: reduces the loss of O2 • Reduction of necessary O2 flow • Prevents drop of the tongue • Particularly useful for overweight patients 5 Early detection of adverse events (respiratory depression, airway obstruction) 3,4

(1) Miner JR, Heegaard W, Plummer D. End-tidal carbon dioxide monitoring during procedural sedation. Acad Emerg Med. 2004;9(4):275-802 (2) Burton JH, Harrah JD, Germann CA, Dillon DC. Does end-tidal carbon dioxide monitoring detect respiratory events prior to current sedation monitoring practices? Acad Emerg Med. 2006;13(5):500-4 (3) Qadeer MA,Vargo JJ, Dumot JA, Lopez R et al. Capnographic monitoring of respiratory activity improves safety of sedation for endoscopic cholangiopancreatography and ultrasonography. Gastroenterology. 2009;136:1568-76; quiz 819-20 (4) Yarci D, Cohen A, Umansky T,...