J U L Y 2 0 1 7 • O U T PA T I E N T S U R G E R Y. N E T • 1 9
implemented several practices to reduce workplace hazards. The
efforts paid off. A year after launching the program, we reduced by
86% the number of days staff missed from work due to on-the-job
injuries. The photos above illustrate some of the ways we've eliminat-
ed the hazards that put our staff in harm's way.
Ross Simon, BA
Elena G. Canacari, RN, CNOR
Beth Israel Deaconess Medical Center
Boston, Mass.
rwsimon@bidmc.harvard.edu
ecanacari@bidmc.harvard.edu
F
or patients who are getting IV sedation with an oxygen
cannula for supplemental O
2
, you can measure the respi-
ratory rate and end tidal CO
2
trending using the sampling
line that you usually put on a circuit. Here's how:
Using an 18 or 20 g catheter, pierce
the nasal cannula at the area of the
nasal prongs.
Cut the tip of the catheter
that protrudes.
Screw the luer lock tips of the sam-
pling line to the catheter.
The monitor will show a tracing that pro-
vides a respiratory rate and end tidal CO
2
that you can trend.
Michael Reines, MD
Reconstructive Surgery Center of Newport Beach (Calif.)
mreines@mac.com
1
2
3
How to Measure Ventilation on Sedated Patients
• MEASURE RESPIRATION Check out
this do-it-yourself technique to meas-
ure sedation, depth of breathing and
rate of breathing on sedated patients.