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
2015
A qualitative evaluation of capnography use in paediatric sedation: perceptions, practice and barriers
Iyer NS, Koziel JR, Langhan ML. A qualitative evaluation of capnography use in paediatric sedation: perceptions, practice and barriers. Journal Of Clinical Nursing 2015, 24: 2231-2238. PMID: 25926380, DOI: 10.1111/jocn.12848.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentUse of capnographyEmergency departmentCapnography useProcedural sedationAdequacy of ventilationMonitoring of childrenAdverse eventsHead traumaPediatric populationMental statusPediatric sedationLack of comfortModifiable barriersSedationCapnographyQualitative exploratory studyMost participantsLack of availabilityNursesPhysiciansVentilationDepartmentParticipantsAdditional education
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 ResearchConceptsEpisodes 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
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