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[New oropharyngeal double lumen cannula for sedation for transesophageal echocardiography: case series]. / Nova cânula orofaríongea de duplo lúmen para sedação em ecocardiografia transesofágica: série de casos.
Nigro Neto, Caetano; Bezerra, Francisco José Lucena; Barreto, Rodrigo Bellio de Mattos; Bihan, Davi Costa de Souza Le; Nascimento, Vinicius Tadeu Nogueira da Silva do; Souza, Ingrid Caroline Baia de.
Afiliação
  • Nigro Neto C; Instituto Dante Pazzanese de Cardiologia, Departamento de Anestesia, São Paulo, SP, Brazil. Electronic address: caenigro@uol.com.br.
  • Bezerra FJL; Instituto Dante Pazzanese de Cardiologia, São Paulo, SP, Brazil.
  • Barreto RBM; Instituto Dante Pazzanese de Cardiologia, São Paulo, SP, Brazil.
  • Bihan DCSL; Instituto Dante Pazzanese de Cardiologia, São Paulo, SP, Brazil.
  • Nascimento VTNDSD; Instituto Dante Pazzanese de Cardiologia, São Paulo, SP, Brazil.
  • Souza ICB; Instituto Dante Pazzanese de Cardiologia, São Paulo, SP, Brazil.
Braz J Anesthesiol ; 70(2): 134-139, 2020.
Article em Pt | MEDLINE | ID: mdl-32482356
INTRODUCTION: Currently, transesophageal echodopplercardiography (TEE) 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 TEE exam, under sedation and using the oropharyngeal cannula. METHOD: Thirty 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 TEE probe handling was appropriate in 93.33% of exams performed. CONCLUSIONS: TEE 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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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Oxigênio / Ecocardiografia Transesofagiana / Sedação Profunda / Cânula Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: Pt Revista: Braz J Anesthesiol Ano de publicação: 2020 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Oxigênio / Ecocardiografia Transesofagiana / Sedação Profunda / Cânula Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: Pt Revista: Braz J Anesthesiol Ano de publicação: 2020 Tipo de documento: Article País de publicação: Brasil