Clinical Foundations
Webinar Series


Archived Webinar


Waste Anesthesia Gases in the Healthcare Environment: Risks and Prevention Strategies

James D. McGlothlin,

Our Mission

As our aging population grows, so does the prevalence of respiratory-related ailments. To meet this medical need, a variety of new respiratory diagnostic and treatment options are being developed. With the availability of these new options, respiratory care professionals will require the most up-to-date, scientifically- and clinically-based information to help them make informed decisions on what is best for their patients.


Clinical Foundations provides practical, clinically- and evidenced-based articles, case studies and symposia for respiratory therapists and respiratory care directors, managers, and supervisors. Clinical Foundations is based on a patient-focused model of care that emphasizes the need to provide the care and services that focus on patients’ individual needs and preferences.


As part of our commitment to helping respiratory care professionals improve their skills, each edition of Clinical Foundations is fully accredited by the AARC for CRCEs.


New Module


Rationales and Applications for Capnography

Monitoring During Sedation

By Devin Carr, MSN, MS, RN, RRT, ACNS-BC, NEA-BC, CPPS and Anna Cartwright, BSN, RN

In September 2011, the American Society of Anesthesiologists (ASA) approved the first substantive changes to its Standards for Basic Anesthetic Monitoring in almost a decade. Perhaps the most significant change is the recommendation for use of capnography for monitoring the adequacy of ventilation during moderate and deep sedation. The additional requirements borne by those guidelines have generated much discussion as hospitals seek to manage risks associated with anesthesia and sedation. The purpose of this paper is to describe the drivers of this change and to provide supporting evidence for use of capnography to improve quality outcomes by promoting patient safety in clinical practice.


Panel Discussion:  Capnography and

Conscious Sedation

Moderator:  Chad Epps, MD

Panelists:  Bill Ehrman  MD, J. Brady Scott, MSc, RRT-ACCS, FAARC, Brian Berry, MS, CRNA

In this panel discussion, 4 experts discuss the benefits of capnography to monitor various states of anesthesia during critical care. The panel addresses the consensus guidelines and statements from multiple organizations regarding monitoring of ventilation during procedural sedation and the application of those guidelines in their practice; how capnography compares to pulse oximetry and respiratory rate measurement for detecting changes in respiratory status during procedural sedation; the use of capnography in nonintubated patients; the primary barriers to implementing ventilatory monitoring during procedural sedation; capnography waveform interpretation (and the difficulty doing so among many clinicians); and finally,  the use of capnography in neonatal and pediatric populations.

This Module is accredited for Respiratory Therapists
and Nurse Anesthetists

Clinical Foundations is published quarterly by Saxe Healthcare Communications.


Please direct your correspondence to:

Saxe Healthcare Communications

P.O. Box 1282

Burlington, VT 05402

Fax: (802) 872-7558

Advisory Board

Richard Branson, MS, RRT, FAARC

Professor of Surgery

University of Cincinnati College of Medicine

Cincinnati, OH


Kathleen Deakins, MS, RRT, NPS

Supervisor, Pediatric Respiratory Care

Rainbow Babies & Children’s Hospital of University Hospitals

Cleveland, OH


William Galvin, MSEd, RRT, CPFT, AE-C, FAARC

Program Director, Respiratory Care Program

Gwynedd Mercy College,

Gwynedd Valley, PA.


Carl Haas, MS, RRT, FAARC

Educational & Research Coordinator

University Hospitals and Health Centers

Ann Arbor, MI


Richard Kallet, MSc, RRT, FAARC

Clinical Projects Manager

University of California Cardiovascular Research Institute San Francisco, CA


Neil MacIntyre, MD, FAARC

Medical Director of Respiratory Services

Duke University Medical Center

Durham, NC


Tim Myers, BS, RRT-NPS

Pediatric Respiratory Care

Rainbow Babies and Children’s Hospital

Cleveland, OH


Tim Op’t Holt, EdD, RRT, AE-C, FAARC

Professor, Department of Respiratory Care and Cardiopulmonary Sciences University of Southern Alabama

Mobile, AL


Helen Sorenson, MA, RRT, FAARC

Assistant Professor, Dept. of

Respiratory Care

University of Texas Health Sciences Center

San Antonio, TX

This program is sponsored by Teleflex