2017
Use of Capnography to Optimize Procedural Sedation in the Emergency Department Pediatric Population
Bovino L, Brainard C, Beaumier K, Concetti V, Lefurge N, Mittelstadt E, Wilson T, Langhan ML. Use of Capnography to Optimize Procedural Sedation in the Emergency Department Pediatric Population. Journal Of Emergency Nursing 2017, 44: 110-116. PMID: 29169819, DOI: 10.1016/j.jen.2017.10.016.Peer-Reviewed Original ResearchConceptsUse of capnographyProcedural sedationWaveform capnographyRespiratory rateNursing practiceEmergency nursing practicePediatric procedural sedationGood nursing practicePatient's respiratory ratePediatric populationAbnormal ventilationPatient outcomesObservational studyEmergency nursesTidal volumePulse oximetryLarger studyPhysical assessmentCapnographySedationVentilationAnalgesiaCarbon dioxide levelsOximetryNurses
2014
A randomized controlled trial of capnography during sedation in a pediatric emergency setting
Langhan ML, Shabanova V, Li FY, Bernstein SL, Shapiro ED. A randomized controlled trial of capnography during sedation in a pediatric emergency setting. The American Journal Of Emergency Medicine 2014, 33: 25-30. PMID: 25445871, PMCID: PMC4272647, DOI: 10.1016/j.ajem.2014.09.050.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentCapnographyChildChild, PreschoolConscious SedationEmergency Service, HospitalFemaleHumansHypoventilationInfantMaleYoung AdultConceptsEpisodes of hypoventilationOxygen desaturationIntervention groupStandard monitoringPediatric emergency department patientsEmergency department patientsSedation of childrenPediatric emergency departmentPediatric emergency settingRates of interventionFrequency of interventionsRespiratory depressionPrimary outcomeDepartment patientsEmergency departmentProcedural sedationEmergency settingHigher oddsHypoventilationCapnography monitorControl groupSedationStandard modalityTimely interventionCapnography
2012
Physiologic Monitoring Practices During Pediatric Procedural Sedation: A Report From the Pediatric Sedation Research Consortium
Langhan ML, Mallory M, Hertzog J, Lowrie L, Cravero J, Consortium F. Physiologic Monitoring Practices During Pediatric Procedural Sedation: A Report From the Pediatric Sedation Research Consortium. JAMA Pediatrics 2012, 166: 990-998. PMID: 22965648, DOI: 10.1001/archpediatrics.2012.1023.Peer-Reviewed Original ResearchConceptsPediatric procedural sedationPediatric Sedation Research ConsortiumProcedural sedationMonitoring modalitiesProcedural sedation/anesthesiaPhysiologic monitoringHealth care provider typeOperating roomIntensive care unitSedation/anesthesiaCare provider typeAge 21 yearsHealth care providersAmerican SocietyResearch ConsortiumAnesthesiologists classificationSedative medicationsAdverse eventsCare unitEmergency departmentEmergency physiciansObservational studyAmerican CollegeCare providersProvider type
2011
Detection of Hypoventilation by Capnography and Its Association With Hypoxia in Children Undergoing Sedation With Ketamine
Langhan ML, Chen L, Marshall C, Santucci KA. Detection of Hypoventilation by Capnography and Its Association With Hypoxia in Children Undergoing Sedation With Ketamine. Pediatric Emergency Care 2011, 27: 394-397. PMID: 21494162, DOI: 10.1097/pec.0b013e318217b538.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAnesthetics, DissociativeCapnographyCarbon DioxideChildChild, PreschoolConscious SedationDiagnosis, DifferentialFemaleFollow-Up StudiesHumansHypoventilationHypoxiaInfantInjections, IntravenousIntensive Care Units, PediatricKetamineMaleProspective StudiesReproducibility of ResultsYoung AdultConceptsPercent of subjectsPulse oximetryRespiratory ratePersistent decreaseEnd-tidal carbon dioxide levelsDetection of hypoventilationPediatric emergency departmentStandard monitoring practicesIntravenous ketamineEmergency departmentTidal volumeHeart rateSedationHypoventilationTransient decreaseKetamineOximetryCapnographyHypoxiaFurther studiesMidazolamChildrenFrequency of hypoxiaRoutine monitoringSubjects