Cochrane · systematic review · CD010698

Capnography versus standard monitoring for emergency department procedural sedation and analgesia

Wall, BF, Magee, K, Campbell, SG, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Emergency and Critical CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 5 · 83.3%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Capnography and standard monitoring compared with standard monitoring for emergency department patients undergoing procedural sedation and analgesia

Population: patients undergoing PSA
6 questions
OutcomeEffectEvidenceStatus / GRADE
Oxygen desaturation
Capnography and standard monitoring vs standard monitoring
RR 0.89 [0.48, 1.63]3 studies · 1272 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Hypotension
Capnography and standard monitoring vs standard monitoring
RR 2.36 [0.98, 5.69]1 study · 986 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Emesis, pulmonary aspiration
Capnography and standard monitoring vs standard monitoring
RR 3.1 [0.13, 75.88]1 study · 986 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Airway interventions
Capnography and standard monitoring vs standard monitoring
RR 1.26 [0.94, 1.69]3 studies · 1272 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Airway interventions adult subgroup analysis (aged ≥ 18 years)h
Capnography and standard monitoring vs standard monitoring
RR 1.44 [1.16, 1.79]2 studies · 1118 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Recovery time
Capnography and standard monitoring vs standard monitoring
no estimate extractedNRNo studies