Safety Guard

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edated patien s f o ts g n O i T itor on ®

Safety-Guard

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Oxyge

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SP

IR

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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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