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Safety-Guard
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Oxyge
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SP
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C A R T
EtCO 2
Management of sedation Sedation Respiratory depression
• Obstruction of the pharynx in upper endoscopy • Pharyngeal anesthesia associated with upper endoscopy • Mechanical diaphragmatic discomfort during colonoscopy (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
• Studies have demonstrated the interest of EtCO2 monitoring for sedated patients to more quickly detect the beginning of respiratory depression compared to the current monitoring of SpO2 1,2. • In gastrointestinal endoscopy, the use of capnography improves the security of the difficult procedures in a patient with spontaneous ventilation, not intubated 3,4.
Management of sedation with Safety-Guard® Oxygenation and monitoring of sedated patients Strap Bite-block
Tongue depressor
O2 connector EtCO2 connector
Capnography tubing
2
Safety-Guard®, one device, more safety
Safety-Guard®
• Placement of bite-block
Guarantees free access to the mouth
Protection of the teeth and the endoscope
O2 connection
• Placement of tongue depressor Oxygenation channel
• Oxygenation above the vocal cords: reduces the loss of O2 • Reduction of necessary O2 flow
Freeing of airways
• Prevents drop of the tongue • Particularly useful for overweight patients 5
EtCO2 connection
EtCO2 monitoring
Early detection of adverse events (respiratory depression, airway obstruction) 3,4
ED
T EN
T PA
3
Safety-Guard® range Code
Bite-block + strap
Tongue depressor (size)
O2 and EtCO2 connectors
Capnography tubing
Quantity/box
0VJAS2390000
-
-
50
0VJAS2150000
Large
-
50
0VJAS2810000
Medium
-
50
0VJAS2840000
-
50
0VJAS2870000
Large
50
0VJAS2910000
Medium
50
Bibliography (1) M iner JR, Heegaard W, Plummer D. End-tidal carbon dioxide monitoring during procedural sedation. Acad Emerg Med. 2004;9(4):275-802 (2) B urton 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) Q adeer 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, Sukhotnik I, Shaoul R. Assessment of end-tidal carbon dioxide during pediatric and adult sedation for endoscopic procedures. Gastrointest Endosc. 2009;69:877-82
DB RESP 13 183 E - 10/17
(5) G ardes G, Constantin JM, Futier E, Mrozek S, Bazin JE. Evaluation d’un ouvre-bouche oxygénant chez l’obèse au cours des endoscopies digestives hautes. Anesthésie-Réanimation, Hôtel-Dieu, CHU, Clermont-Ferrand.
ANAESTHESIA EMERGENCY For further information, please contact: questions@vygon.com The specifications given in this brochure are for information only and are not, under any circumstances, of a contractual nature.
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