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Sedation during endoscopic procedures needs to ensure adequate tissue oxygenation, which depends on good cardiovascular and respiratory function. These parameters need to be monitored non-invasively as it is difficult to predict how a certain patient will respond to sedation. Tissue oxygenation is monitored using oximetry. Cardiovascular function is monitored by measuring blood pressure and pulse. Finally, respiratory function is monitored by assessing airway patency and respiratory rate in cases of spontaneous ventilation and with capnography when a patient is intubated and mechanically ventilated.

Is capnography mandatory during sedation for endoscopy?