caa a22 4500 605509921 CHVBK 20210128100643.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s10877-015-9665-z doi (NATIONALLICENCE)springer-10.1007/s10877-015-9665-z The value of Integrated Pulmonary Index (IPI) monitoring during endoscopies in children [Elektronische Daten] [Jamal Garah, Orly Adiv, Irit Rosen, Ron Shaoul] The Integrated Pulmonary Index (IPI) is an algorithm included in commercially available monitors that constitutes a representation of 4 parameters: EtCO2, RR, SpO2 and PR. The IPI index has been validated for adults and children older than 1year of age. In this study we aimed to study the value of IPI monitoring during pediatric endoscopic procedures. Our data consisted of 124 measurements of 109 patients undergoing different procedures (upper endoscopy 84 patients, colonoscopy 6 patients, both 9 patients). The data was divided into 3 groups based on the drug type used: propofol only, 5 patients (group 1); propofol & midazolam, 89 patients (group 2); propofol, midazolam and Fentanyl, 15 patients (group 3). Patients in group 2 and 3 had significantly higher IPI levels than group 1. Significantly lower IPI values were found between ages 4-6 compared to 7-12years old. High midazolam dose was associated with lower IPI levels during the procedure. No significant differences were found for propofol doses. Patients who had an anesthetist present had lower IPI levels during the procedure compared to those who did not. No differences were noted between the different procedures. IPI alerted all apnea episodes (58 events, IPI=1) and hypoxia (26 events, IPI≤3) episodes, whereas pulse oximetry captured only the hypoxia episodes (IPI sensitivity=1, specificity 0.98, positive predictive value 0.95). Younger patient age, use of propofol alone, higher midazolam doses and presence of anesthetist are all associated with lower IPI levels. Springer Science+Business Media New York, 2015 Endoscopy nationallicence Monitoring nationallicence Children nationallicence Safety nationallicence Sedation nationallicence End tidal CO2 nationallicence Garah Jamal Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital of Haifa, Rambam Medical Center, POB 9602, 31096, Haifa, Israel aut Adiv Orly Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital of Haifa, Rambam Medical Center, POB 9602, 31096, Haifa, Israel aut Rosen Irit Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital of Haifa, Rambam Medical Center, POB 9602, 31096, Haifa, Israel aut Shaoul Ron Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital of Haifa, Rambam Medical Center, POB 9602, 31096, Haifa, Israel aut Journal of Clinical Monitoring and Computing Springer Netherlands 29/6(2015-12-01), 773-778 1387-1307 29:6<773 2015 29 10877 https://doi.org/10.1007/s10877-015-9665-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10877-015-9665-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Garah Jamal Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital of Haifa, Rambam Medical Center, POB 9602, 31096, Haifa, Israel aut NATIONALLICENCE 700 1- Adiv Orly Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital of Haifa, Rambam Medical Center, POB 9602, 31096, Haifa, Israel aut NATIONALLICENCE 700 1- Rosen Irit Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital of Haifa, Rambam Medical Center, POB 9602, 31096, Haifa, Israel aut NATIONALLICENCE 700 1- Shaoul Ron Pediatric Gastroenterology and Nutrition Unit, Meyer Children's Hospital of Haifa, Rambam Medical Center, POB 9602, 31096, Haifa, Israel aut NATIONALLICENCE 773 0- Journal of Clinical Monitoring and Computing Springer Netherlands 29/6(2015-12-01), 773-778 1387-1307 29:6<773 2015 29 10877