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Integrated pulmonary index in pediatric sedation for endoscopy: a prospective cohort study.

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Title: Integrated pulmonary index in pediatric sedation for endoscopy: a prospective cohort study.
Alternate Title: Índice pulmonar integrado en sedación pediátrica para endoscopia: estudio de cohorte prospectivo.
Authors: Abdullayev, Ruslan1 (AUTHOR) ruslan_jnr@hotmail.com, Kelleci, Yavuz2 (AUTHOR), Halis, Adem3 (AUTHOR), Girgin, Sevket4 (AUTHOR), Saracoglu, Ayten5,6 (AUTHOR), Umuroglu, Tumay1 (AUTHOR)
Source: Cirugía y Cirujanos. nov/dec2025, Vol. 93 Issue 6, p669-677. 9p.
Subjects: ENDOSCOPY, VENTILATION monitoring, PROPOFOL, KETAMINE, CONSCIOUS sedation, CAPNOGRAPHY, OXYGEN saturation
Abstract (English): Objective: Integrated pulmonary index (IPI™) is a device working with fuzzy logic principle that analyzes patient’s end-tidal carbon dioxide (ETCO2), respiratory rate (RR), peripheral oxygen saturation (SpO2), and pulse rate and provides a number between 1 and 10. We aimed to investigate the usefulness of IPI monitor in pediatric patients. Methods: After the Investigational Review Board approval pediatric patients undergoing gastrointestinal endoscopy under sedation were recruited. Propofol (Group P) and ketamine (Group K) were used for sedation. The primary outcome measure was average periprocedural IPI values. Secondary outcome measures were recovery time, endoscopist, and anesthetist satisfactions. Correlation of IPI values with physiological parameters was examined as well. Results: Periprocedural IPI scores were comparable between the groups (6.3 [4.9-7] vs. 6.8 [5.3-7.6] in Group P and Group K, respectively, p = 0.153). Recovery time was significantly longer in Group K (p < 0.001). Endoscopist and anesthetist satisfaction scores were comparable. Low IPI scores were significantly associated with low ETCO2, RR, and SpO2 values (p < 0.001). Conclusions: IPI monitor is a valuable tool in the monitorization of the pediatric patients undergoing sedation with propofol and ketamine. Both drugs are associated with comparable IPI scores. ETCO2, RR, and SpO2 values are measured lower in patients with low IPI scores (1-3 points). [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo: El índice pulmonar integrado (IPI™) es un dispositivo que funciona con el principio de lógica difusa para analizar el dióxido de carbono al final de la espiración (ETCO2), la frecuencia respiratoria (FR), la saturación periférica de oxígeno (SpO2) y la frecuencia cardiaca (FC), y proporciona un número entre 1 y 10. Nuestro objetivo fue investigar la utilidad del monitor IPI en pacientes pediátricos. Métodos: Tras la aprobación por la Junta de Revisión de Investigaciones, se reclutaron pacientes pediátricos sometidos a endoscopia gastrointestinal bajo sedación. Para la sedación se utilizó propofol (grupo P) o ketamina (grupo K). La medida de resultado primaria fueron los valores medios del IPI periprocedimiento. Las medidas de resultado secundarias fueron el tiempo de recuperación y la satisfacción del endoscopista y del anestesista. También se examinó la correlación de los valores del IPI con los parámetros fisiológicos. Resultados: Las puntuaciones del IPI periprocedimiento fueron comparables entre los grupos (6.3 [4.9-7] en el grupo P frente a 6.8 [5.3-7.6] en el grupo K; p = 0.153). El tiempo de recuperación fue significativamente mayor en el grupo K (p < 0.001). Las puntuaciones de satisfacción del endoscopista y del anestesista fueron comparables. Unas puntuaciones bajas del IPI se asociaron significativamente con valores bajos de ETCO2, FR y SpO2 (p < 0.001). Conclusiones: El monitor IPI es una herramienta valiosa para la monitorización de los pacientes pediátricos sometidos a sedación con propofol o ketamina. Ambos fármacos se asocian a puntuaciones de IPI comparables. Los valores de ETCO2, FR y SpO2 son más bajos en pacientes con puntuaciones de IPI bajas (1-3 puntos). [ABSTRACT FROM AUTHOR]
Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Label: Title
  Group: Ti
  Data: Integrated pulmonary index in pediatric sedation for endoscopy: a prospective cohort study.
– Name: TitleAlt
  Label: Alternate Title
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  Data: &#205;ndice pulmonar integrado en sedaci&#243;n pedi&#225;trica para endoscopia: estudio de cohorte prospectivo.
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  Label: Authors
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Abdullayev%2C+Ruslan%22&quot;&gt;Abdullayev, Ruslan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)&lt;i&gt; ruslan_jnr@hotmail.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kelleci%2C+Yavuz%22&quot;&gt;Kelleci, Yavuz&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Halis%2C+Adem%22&quot;&gt;Halis, Adem&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Girgin%2C+Sevket%22&quot;&gt;Girgin, Sevket&lt;/searchLink&gt;&lt;relatesTo&gt;4&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Saracoglu%2C+Ayten%22&quot;&gt;Saracoglu, Ayten&lt;/searchLink&gt;&lt;relatesTo&gt;5,6&lt;/relatesTo&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Umuroglu%2C+Tumay%22&quot;&gt;Umuroglu, Tumay&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Cirug&#237;a+y+Cirujanos%22&quot;&gt;Cirug&#237;a y Cirujanos&lt;/searchLink&gt;. nov/dec2025, Vol. 93 Issue 6, p669-677. 9p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22ENDOSCOPY%22&quot;&gt;ENDOSCOPY&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22VENTILATION+monitoring%22&quot;&gt;VENTILATION monitoring&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22PROPOFOL%22&quot;&gt;PROPOFOL&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22KETAMINE%22&quot;&gt;KETAMINE&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22CONSCIOUS+sedation%22&quot;&gt;CONSCIOUS sedation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22CAPNOGRAPHY%22&quot;&gt;CAPNOGRAPHY&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22OXYGEN+saturation%22&quot;&gt;OXYGEN saturation&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective: Integrated pulmonary index (IPI™) is a device working with fuzzy logic principle that analyzes patient’s end-tidal carbon dioxide (ETCO2), respiratory rate (RR), peripheral oxygen saturation (SpO2), and pulse rate and provides a number between 1 and 10. We aimed to investigate the usefulness of IPI monitor in pediatric patients. Methods: After the Investigational Review Board approval pediatric patients undergoing gastrointestinal endoscopy under sedation were recruited. Propofol (Group P) and ketamine (Group K) were used for sedation. The primary outcome measure was average periprocedural IPI values. Secondary outcome measures were recovery time, endoscopist, and anesthetist satisfactions. Correlation of IPI values with physiological parameters was examined as well. Results: Periprocedural IPI scores were comparable between the groups (6.3 [4.9-7] vs. 6.8 [5.3-7.6] in Group P and Group K, respectively, p = 0.153). Recovery time was significantly longer in Group K (p &lt; 0.001). Endoscopist and anesthetist satisfaction scores were comparable. Low IPI scores were significantly associated with low ETCO2, RR, and SpO2 values (p &lt; 0.001). Conclusions: IPI monitor is a valuable tool in the monitorization of the pediatric patients undergoing sedation with propofol and ketamine. Both drugs are associated with comparable IPI scores. ETCO2, RR, and SpO2 values are measured lower in patients with low IPI scores (1-3 points). [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo: El &#237;ndice pulmonar integrado (IPI™) es un dispositivo que funciona con el principio de l&#243;gica difusa para analizar el di&#243;xido de carbono al final de la espiraci&#243;n (ETCO2), la frecuencia respiratoria (FR), la saturaci&#243;n perif&#233;rica de ox&#237;geno (SpO2) y la frecuencia cardiaca (FC), y proporciona un n&#250;mero entre 1 y 10. Nuestro objetivo fue investigar la utilidad del monitor IPI en pacientes pedi&#225;tricos. M&#233;todos: Tras la aprobaci&#243;n por la Junta de Revisi&#243;n de Investigaciones, se reclutaron pacientes pedi&#225;tricos sometidos a endoscopia gastrointestinal bajo sedaci&#243;n. Para la sedaci&#243;n se utiliz&#243; propofol (grupo P) o ketamina (grupo K). La medida de resultado primaria fueron los valores medios del IPI periprocedimiento. Las medidas de resultado secundarias fueron el tiempo de recuperaci&#243;n y la satisfacci&#243;n del endoscopista y del anestesista. Tambi&#233;n se examin&#243; la correlaci&#243;n de los valores del IPI con los par&#225;metros fisiol&#243;gicos. Resultados: Las puntuaciones del IPI periprocedimiento fueron comparables entre los grupos (6.3 [4.9-7] en el grupo P frente a 6.8 [5.3-7.6] en el grupo K; p = 0.153). El tiempo de recuperaci&#243;n fue significativamente mayor en el grupo K (p &lt; 0.001). Las puntuaciones de satisfacci&#243;n del endoscopista y del anestesista fueron comparables. Unas puntuaciones bajas del IPI se asociaron significativamente con valores bajos de ETCO2, FR y SpO2 (p &lt; 0.001). Conclusiones: El monitor IPI es una herramienta valiosa para la monitorizaci&#243;n de los pacientes pedi&#225;tricos sometidos a sedaci&#243;n con propofol o ketamina. Ambos f&#225;rmacos se asocian a puntuaciones de IPI comparables. Los valores de ETCO2, FR y SpO2 son m&#225;s bajos en pacientes con puntuaciones de IPI bajas (1-3 puntos). [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: &lt;i&gt;Copyright of Cirug&#237;a y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.24875/CIRU.24000615
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 669
    Subjects:
      – SubjectFull: ENDOSCOPY
        Type: general
      – SubjectFull: VENTILATION monitoring
        Type: general
      – SubjectFull: PROPOFOL
        Type: general
      – SubjectFull: KETAMINE
        Type: general
      – SubjectFull: CONSCIOUS sedation
        Type: general
      – SubjectFull: CAPNOGRAPHY
        Type: general
      – SubjectFull: OXYGEN saturation
        Type: general
    Titles:
      – TitleFull: Integrated pulmonary index in pediatric sedation for endoscopy: a prospective cohort study.
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            – D: 01
              M: 11
              Text: nov/dec2025
              Type: published
              Y: 2025
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