Pediatric anesthesia & critical care

Using capnography in children to prevent oxygen desaturation during procedural sedation: A randomised trial

Eur J AnaesthesiolPublished Randomised controlled trial

Primary resultResult — go to the resultOdds ratio 0.38 95% CI 0.19–0.75

Authors' conclusion

Capnography significantly reduced the incidence of oxygen desaturation in paediatric patients undergoing procedural sedation outside the operating room.

Study context

Population
Children undergoing sedation outside the operating room (oral chloral hydrate, IV midazolam, ketamine or a combination), tertiary children's hospital197 analysed
Participants
214 children
Comparison
Pulse oximetry plus capnography vs pulse oximetry alone
  • Capnographyn = 96
  • Controln = 101reference
Primary endpoint
Incidence of oxygen desaturation (decrease ≥5% from baseline oxygen saturation)
Methodological detailsage-stratified, without blinding, single-centre
  • Age-stratified
  • Without blinding
  • Single-centre

Primary result

As reported in the abstract

Odds ratio

0.38

95% CI 0.19–0.75

P = 0.005

Events by treatment group

Capnography vs Control
OR 0.38 (95% CI 0.19–0.75); P = 0.005

Further findings

Oxygen saturation at intervention initiation · higher in the capnography group

P = 0.003

Severe oxygen desaturation (<90% or <85%)

Did not differ between the two groups

Original publication

Using capnography in children to prevent oxygen desaturation during procedural sedation: A randomised trial. Eur J Anaesthesiol. Published 11 August 2025. doi:10.1097/eja.0000000000002250

Composed by AI from the published abstract and checked against it. How Briefs are made →

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