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- W2040200907 abstract "A patient was transferred to the recovery room breathing oxygen enriched air via a laryngeal mask airway following general anaesthesia for an inguinal herniorraphy. He was monitored by ECG, pulse oximetry and noninvasive blood pressure and his care handed over to the recovery nurses. His observations were stable initially but we were called to return urgently as he started to desaturate. On examination he was making respiratory efforts, but the laryngeal mask airway had rotated sideways, obstructing his airway, and his peripheral blood oxygen saturation was 65%. The laryngeal mask airway was removed, he was given oxygen by a facemask and his saturations returned to normal. Capnography is one of the earliest indicators of displacement of an airway device and other of ventilatory problems in a patient. If the end-tidal carbon dioxide had been monitored in this case, the problem would have been picked up earlier and desaturation could have been avoided. If a trained anaesthetist is required to use a capnograph during anaesthesia as stated in the AAGBI guidelines [1], why is it acceptable to leave our patients in a recovery room with laryngeal masks in situ under the care of recovery nurses without the same standard of monitoring? The AAGBI guidelines mention that a capnograph should be present in the recovery room but do not state that it should be used to monitor a patient with laryngeal mask airway in place. Airway problems are common in the recovery room [2, 3] and although it would be expensive, patient safety would be improved if we used capnography to monitor all patients with a laryngeal mask airway in place." @default.
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- W2040200907 date "2006-12-06" @default.
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- W2040200907 title "Monitoring end-tidal carbon dioxide in the recovery room" @default.
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- W2040200907 doi "https://doi.org/10.1111/j.1365-2044.2006.04927.x" @default.
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