A national survey of capnography utilization among anaesthesiologists in Indonesia. (October 2021)

• Record Type: Journal Article
• Authors: Ramlan, Andi AW.; Lestari, Mayang Indah; Banadji, Yasir; Arif, Syafri K.
• Is Part Of: Trends in anaesthesia and critical care. Volume 40(2021)
• Page Start: 9
• Page End: 13
• Publication Date: 2021-10
• Subjects: Capnography -- Intra-operative monitoring -- Standard monitoring; Anesthesia -- Periodicals; Critical care medicine -- Periodicals; Anesthesia in traumatology -- Periodicals; Anesthesia -- Case studies -- Periodicals; 617.9605
• DOI: 10.1016/j.tacc.2021.06.004
• Languages: English
• ISSNs: 2210-8440

Abstract

Abstract: Background: Capnography allows health-care providers to continuously monitor the concentration or partial pressure of carbon dioxide in respiratory gas. The American Society of Anaesthesiologists includes end-tidal carbon dioxide monitoring as mandatory monitoring for patients under sedation and anaesthesia. However, capnography is not widely considered for standard patient monitoring in Indonesia. We aim to investigate the utilization of capnography and reasons for lack of use among anaesthesiologists in Indonesia. Methods: An internet-based questionnaire was distributed to participants of an online anaesthesiology national meeting. Data was collected and managed using REDCap electronic data capture tools hosted at Faculty of Medicine Universitas Indonesia. Results: We received 421 respondents' replies nationwide. Replies from anaesthesiologists (n = 367) was used for data analysis. 55.3% (n = 203) reported the availability of capnography in their hospitals. Approximately 77 (21%) of respondents utilize capnography routinely for intraoperative monitoring, 132 (36%) never use capnography. Only 59 (16%) routinely use capnography for intubation confirmation. The utilization of capnography outside the operating theatre was even lower. As many of 249 (67.9%) never use capnography for monitoring during procedural sedation, while 278 (75.8%) do not utilize capnography during patient transfer. Conclusion: The utilization of capnography for intraoperative monitoring is adopted only by half of anaesthesiologists in Indonesia. Outside the operating theatre capnography use is still limited. Capnography as a standard of care should be implemented in all health care institutions in Indonesia. Highlights: Only 55.3% of respondents have capnography available in their workplace. Capnography is widely used in intraoperative monitoring, but utilization outside the operating theatre is still limited. As many of 352 (96%) respondents acknowledged that capnography is important.