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Squamous Papilloma Causing Airway Obstruction During Conscious Sedation
case-report
Paul Brady , BDS, MFDS, FFDRCSI(OS), MSc Con Sed
,
Christine McCreary , MD, FDS(OM), FFDRCSI,
Ken D. O'Halloran , BSc, PhD,
Catherine Gallagher , MB, FDSRCS, FFDRCSI(OS)
Fall 2017
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Abstract
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.