Integrated Pulmonary Index (IPI) monitorization under sedation in cataract surgery with phacoemulsification technique
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We aimed to investigate that change of IPI values after sedation of patients undergoing cataract surgery under sedation.
We included 50 patients (ASA I–III) undergoing cataract surgery under sedation by phacoemulsification method in this prospective observational study. IPI, SpO2, ETCO2, respiratory rate (RR), peripheral pulse rate (PR), hemodynamic data and BIS values and perioperative complications were recorded.
Compared to baseline values, RR value at 5th min, RR, PR, IPI values at 10th min and RR, PR values at 15th min were significantly low and heart rate value at 15th min and arterial pressure, bispectral index (BIS) values at 5th min, 10th min, 15th min, 20th min, 25th min and 30th min were lower than baseline values.
IPI monitoring will provide guidance during sedation of patients with comorbid diseases undergoing cataract surgery by phacoemulsification method.
KeywordsSedation Hypoxemia Hypoventilation Monitoring Phacoemulsification
Compliance with ethical standards
Conflict of interest
Arzu Yıldırım Ar, Süheyla Abitağaoğlu, Güldem Turan, Ceren Şanlı Karip, Nur Akgün, Doğa Meriç Boybeyi and Dilek Erdoğan Arı declare that they have no conflict of interest.
- 5.Mermer D, Turan G, Koksal C, Ayanoglu Tas B, Karadogan F, Akgun N (2016) Correlation of integrated pulmonary index with clinical observation in unilateral and bilateral spinal anaesthesia in geriatric patients. Int J Res 4(10):4438–4443Google Scholar
- 10.Vaessen HHB, Knape JTA (2016) An evaluation of the Integrated Pulmonary Index (IPI) fort he detection of respiratory events in propofol sedated patients undergoing upper gastrointestinal endoscopy. J Hepatol Gastroint Dis 2:2Google Scholar
- 13.Vargo JJ, Zuccaro G, Dumot JA, Conwell DL, Morrow JB, Shay SS (2002) Automated graphic assessment of respiratory activity is superior to pulse oximetry and visual assessment for the detection of early respiratory depression during therapeutic upper endoscopy. Gastrointest Endosc 55:826–831CrossRefGoogle Scholar
- 14.Riphaus A, Wehrman T, Kronshage T, Geist C, Pox CP, Heringlake S, Schmiegel W, Beitz A, Meining A, Müller M, Delius S (2017) Clinical value of the Integrated Pulmonary Index during sedation for interventional upper GI-endoscopy: a randomized prospective tri-center study. Dig Liver Dis 49:45–49CrossRefGoogle Scholar