Open AccessSquamous Papilloma Causing Airway Obstruction During Conscious Sedation
Author(s) -
P. Jeffrey Brady,
Christine McCreary,
Ken D. O’Halloran,
C. Gallagher
Publication year - 2017
Publication title -
anesthesia progress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.191
H-Index - 35
eISSN - 1878-7177
pISSN - 0003-3006
DOI - 10.2344/anpr-64-03-07
Subject(s) - sedation , medicine , midazolam , anesthesia , airway obstruction , airway , respiratory rate , propofol , pulse oximetry , intensive care medicine , heart rate , blood pressure
Monitoring for respiratory depression is essential during conscious sedation. We report a case of a squamous papilloma as an unusual cause of intermittent partial airway obstruction in a 43-year-old man undergoing intravenous conscious sedation with midazolam. The Integrated Pulmonary Index (IPI) is an algorithm included in some commercially available monitors that constitutes a representation of 4 parameters: end-tidal carbon dioxide, respiratory rate, oxygen saturation, and pulse rate. We discuss the potential of the IPI as a monitoring tool during sedation.
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