Annals of Emergency Medicine
Volume 52, Issue 1 , Pages 9-10 , July 2008

Supplemental Oxygen During Propofol Sedation: Yes or No?

  • Steven M. Green, MD

      Affiliations

    • Department of Emergency Medicine, Loma Linda University Medical Center and Children's Hospital, Loma Linda, CA
    • Corresponding Author InformationAddress for correspondence: Steven M. Green, MD, 11234 Anderson Street, Loma Linda, CA 92354; 805-969-2144, fax 775-307-4121
    • ,
  • Baruch Krauss, MD, EdM

      Affiliations

    • Division of Emergency Medicine, Children's Hospital and Harvard Medical School, Boston, MA.

References 

  1. Deitch K, Chudnofsky CR, Domenici P. The utility of supplemental oxygen during emergency department procedural sedation with propofol: a randomized controlled trial. Ann Emerg Med. 2008;52:1–8
  2. Fu ES, Downs JB, Schweiger JW, et al. Supplemental oxygen impairs detection of hypoventilation by pulse oximetry. Chest. 2004;126:1552–1558
  3. Green SM. Research advances in procedural sedation and analgesia. [editorial] Ann Emerg Med. 2007;49:31–36
  4. Miner JR, Burton JH. Clinical practice advisory: emergency department procedural sedation with propofol. Ann Emerg Med. 2007;50:182–187
  5. Green SM. Propofol in emergency medicine: further evidence of safety. [editorial] Emerg Med Australas. 2007;19:389–393
  6. Burton JH, Miner JR, Shipley ER, et al. Propofol for emergency department procedural sedation and analgesia: a tale of three centers. Acad Emerg Med. 2006;13:24–30
  7. Diprivan. Los Angeles, CA: Abraxis Bioscience; 2007;[package insert]
  8. Jense HG, Dubin SA, Silverstein PI, et al. Effect of obesity on safe duration of apnea in anesthetized humans. Anesth Analg. 1991;72:89–93
  9. Patel R, Lenczyk M, Hannallah RS, et al. Age and the onset of desaturation in apnoeic children. Can J Anesth. 1994;41:771–774
  10. Xue FS, Tong S-Y, Wang X-L, et al. Study of the optimal duration of preoxygenation in children. J Clin Anesth. 1995;7:93–96
  11. Xue FS, Luo LK, Tong S-Y, et al. A study of the safe threshold of apneic period in children during anesthesia induction. J Clin Anesth. 1996;8:568–574
  12. Krauss B, Hess DR. Capnography for procedural sedation and analgesia in the emergency department. Ann Emerg Med. 2007;50:172–181

 Supervising editor: Michael L. Callaham, MD

 Dr. Callahan was the supervising editor on this article. Dr. Green did not participate in the editorial review or decision to publish this article.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. The author has stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Dr. Krauss is a consultant for Oridion Medical, a capnography company, and holds 2 patents in the area of capnography.

 Earn CME Credit: Continuing Medical Education for this article is available at: www.ACEP-EMedHome.com.

 Reprints not available from the authors.

PII: S0196-0644(07)01850-1

doi: 10.1016/j.annemergmed.2007.12.001

Annals of Emergency Medicine
Volume 52, Issue 1 , Pages 9-10 , July 2008

Article Tools