Implementing Preoxygenation in Obese Patients Prior to Esophagogastroduodenoscopy Procedures in a Fast-Paced Ambulatory Gastrointestinal Endoscopy Center: A Quality Improvement Project.

Obese patients undergoing esophagogastroduodenoscopy procedures require sedation ranging between deep sedation and general anesthesia to tolerate the procedure which predisposes this patient population to hypoxemia development. A practical, cost-effective, and readily available means of preoxygenation that can be implemented by certified registered nurse anesthetists practicing in high-volume, fast-paced ambulatory gastrointestinal endoscopy centers is the use of a nonrebreathing face mask with reservoir bag and one-way exhalation valve, along with oxygen flow rates at 15 liters per minute, and instructing the patient in taking eight vital capacity deep breaths over 60 seconds prior to start of the procedure. The purpose of this quality improvement project was to reduce intraprocedural hypoxemic events, defined as intraprocedural SpO

Informations de copyright

Copyright © by the American Association of Nurse Anesthetists.

Déclaration de conflit d'intérêts

Name: Russ Branch, DNP, CRNA, ACNP-BC Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Haley Hoy, PhD, ACNP-BC Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. Name: Katina Currin, DNP, CRNA Contribution: This author made significant contributions to the conception, synthesis, writing, and final editing and approval of the manuscript to justify inclusion as an author. Disclosures: None. The authors did not discuss off-label use within the article. Disclosure statements are available for viewing upon request.