Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 1/26/2026

Monitoring Requirements for Remimazolam Sedation in Cardiac Catheterization

Respiratory Monitoring

  • Pulse oximetry alone is insufficient for detecting respiratory compromise during procedural sedation; capnography is required because it identifies hypoventilation, airway obstruction, and apnea several minutes earlier than pulse oximetry. 1, 2

Cardiovascular Monitoring

  • Continuous monitoring during procedural sedation must include electrocardiogram (ECG), pulse oximetry (SpO₂), and non‑invasive blood pressure, as stipulated by anesthesia practice guidelines. 3