Sedation for upper gastrointestinal endoscopy: results of a nationwide survey.
نویسندگان
چکیده
A postal questionnaire inquiring about routine sedation and premedication practice for upper gastrointestinal endoscopy was sent to 1048 doctors. Of 665 appropriate returns, 81% were from consultant physicians and surgeons. Most endoscopists (90%) reported using an intravenous benzodiazepine for at least three quarters of endoscopies and 54% of physicians and 69% of surgeons always did so. Midazolam was the intravenous sedative used by a third of all respondents and 13% also used an additional intravenous agent, usually pethidine. Over the previous two years a total of 119 respiratory arrests, 37 cardiac arrests, and 52 deaths were identified. Adverse outcomes were reported more frequently by consultant physicians, by those who 'titrated' the intravenous sedative, and by those who used an additional intravenous agent, but were reported equally frequently by endoscopists using midazolam and endoscopists using diazepam. There is an urgent need for a prospective study to identify the circumstances and risk factors associated with adverse outcomes related to endoscopy.
منابع مشابه
Comparison of oral and intra venous midazolam for sedation in children undergoing upper gastrointestinal endoscopy
Background: Selecting the best medication for upper GI endoscopy in children is a challenging issue. The goal of this study was to compare the effects of oral and intravenous midazolam for upper gastrointestinal endoscopy (UGIE) on children. Methods: In this randomized clinical trial study conducted in Amirkola Children's Hospital, 110 children were randomly assigned to oral or intravenous g...
متن کاملفاکتورهای پیش بینی کننده کاهش اشباع اکسیژن خون شریانی در طی آندوسکوپی فوقانی در بیماران بدون دریافت داروی آرامبخش
Introduction: Hypoxemia can occur during upper gastrointestinal endoscopy with or without pharmacological sedation. Pulse oximetry saturation (SpO2) levels were assessed in patients attending for routine unsedated diagnostic upper gastrointestinal endoscopy to identify factors associated with oxygen desaturation. Methods: A total of 300 patients who underwent upper gastrointestinal endoscopy w...
متن کاملChildren Sedation during Gastrointestinal Endoscopy Comparison of Two Methods
Introduction: Endoscopy is an invasive and painful procedure in children. Since children can not tolerate pain and stress, sedation is necessary in pediatric endoscopy. The aim of this study was comparison of propofol versus intravenous midazolam for reducing anxiety in children. Materials and Methods: In this study, 103 patients (2-14 years old) in whom endoscopy was indicated were divid...
متن کاملRoom for Quality Improvement in Endoscopist-Directed Sedation: Results from the First Nationwide Survey in Korea
BACKGROUND/AIMS This study sought to characterize the current sedation practices of Korean endoscopists in real-world settings. METHODS All active members of the Korean Society of Gastrointestinal Endoscopy were invited to complete an anonymous 35-item questionnaire. RESULTS The overall response rate was 22.7% (1,332/5,860). Propofol-based sedation was the dominant method used in both elect...
متن کاملEfficacy and safety of propofol sedation during urgent upper gastrointestinal endoscopy--a prospective study.
The aim of this study was to investigate both the efficacy and safety of sedation with propofol during urgent therapeutic gastroscopy in patients with upper gastrointestinal bleeding. This prospective study included a total of 110 patients. Propofol was administered intravenously at the starting dose of 1 mg/kg body weight and was followed by repeated doses. Oxygen saturation and heart rate wer...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Gut
دوره 32 1 شماره
صفحات -
تاریخ انتشار 1991