Why the Increased Popularity of Deep Sedation Calls for the POM
September 23, 2022
HomeBlogWhy the Increased Popularity of Deep Sedation Calls for the POM
In the past two decades, deep sedation has grown significantly in popularity across a variety of procedures. As surgeries continue to become more effective and therefore more complex, the need to put patients under deep sedation is not only to ensure their comfort during an operation, but also to increase the efficiency of clinicians.
However, while the practice is becoming incredibly common, if not expected for certain invasive procedures, patient safety and anesthesia protocols remain under-researched. With the increased use of deep sedation, there is a legitimate concern for its commonality despite the lack of studies, medical or surgical history, assessments for airway and cardiopulmonary performance, and preprocedural diagnostic tests supported by research, per Medscape.
Avoid Respiratory Depression
Deeply sedated patients cannot maintain their airway reflexed or spontaneous ventilation, meaning the risk for respiratory depression and hypoxic events is ever present. The likelihood of these risks is often interchangeably related to a patient’s underlying conditions, particularly those with pulmonary diseases and other comorbidities.
Patients in these categories are much more reliant on supplemental oxygen, and require not only higher rates of FiO2, but also CO2 monitoring. Without these essentials during invasive procedures, a patient under deep sedation can be quickly compromised. There is a classification system for patient risk during procedural sedation, however only the low-risk classes have been studied extensively for adverse outcomes.
Nasal Cannula Concerns
This is why the continued use of nasal cannula, as well as pulse oximeters unpaired with capnography, should no longer be acceptable during procedures calling for deep sedation. Not only is controlled oxygenation completely imperative to ensure patient safety, CO2 monitoring is far more effective in allowing clinicians to act in real time if oxygenation is lost.
The Procedural Oxygen Mask is the only FDA approved Class 2 mask that can deliver high-flow FiO2 in tandem with capnography monitoring, while also being adaptable to intubation, along with a variety of scopes and tubes used during invasive procedures such as endoscopy.
The POM meets the needs of every aspect associated with deep sedation. No other mask combines high delivery of FiO2, capnography ports, and equipment membranes in one oxygenation system. This mask not only meets the needs required for patients undergoing general anesthesia, but also for clinicians to do their best work.