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Our new MedEd Learning Experience podcast series provides brief, interview-style discussions with clinical experts. The podcast series on capnography in procedural sedation includes a discussions between Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle BSN, RN.  The discussions include topics such as identifying and treating higher risk patients, the implications of implementing capnography monitoring, and the frequency, detection, and consequences of respiratory compromise.

The goal of this program is to get closer to the patient and delve into the challenges and impact of each technology in practice. 

Part 1: Higher patient acuity = higher risk

Dr. Ashish Chawla MD and Linda Erfle BSN, RN discuss the implications of a higher risk patient population presenting for procedural sedation.

08:24

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Part 2: Misclassification of patients’ physical status is a serious concern

Dr. Ashish Chawla MD and Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA review the risks associated with misclassification of patients’ physical status.

08:57

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Part 3: Leverage technology to improve quality of care

Dr. Ashish Chawla MD and Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA discuss whether technology can be used to improve the quality of care during procedural sedation.

09:30

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Part 4: Distraction and interruptions

Brian D. Berry Jr. RN, BSN, CRNA, MS, MBA and Linda Erfle BSN, RN discuss the harms of alarm fatigue and tools to mitigate false alarms.

06:22

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Part 5: Society guidelines for the use of capnography in procedural sedation

Dr. Ashish Chawla MD and Linda Erfle, BSN, RN review the society guidelines that recommend capnography monitoring during procedural sedation.

06:38

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Part 6: Don’t miss respiratory compromise

Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN comment on the frequency and detection of respiratory compromise.

 

06:58

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Part 7: Capnography in procedural sedation case study

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN review a case where a patient suffered respiratory compromise and discuss whether capnography may have led to earlier detection and intervention.

09:11

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Part 8: A team approach helps prevent respiratory compromise

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN review the role of sedation and endoscopy nurses play in preventing respiratory compromise.

 

06:04

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Part 9: Adverse events

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN describe how capnography can help clinicians identify airway obstructions that would otherwise go unrecognized leading to adverse events.

09:11

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Part 10: Financial implications

Dr. Ashish Chawla MD, Brian D. Berry Jr, RN, BSN, CRNA, MS, MBA, and Linda Erfle, BSN, RN detail how capnography may reduce procedure costs.

 

06:04

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