Complications Associated With Anesthesia Services in Endoscopic Procedures Among Patients With Cirrhosis.

Hepatology : Official Journal of the American Association for the Study of Liver Diseases
Sarah R LieberAlfred Sidney Barritt

Abstract

Anesthesia services for endoscopic procedures have proliferated with the promise of increased comfort and safety. Cirrhosis patients are higher risk for sedation, yet limited data are available describing anesthesia complications in this population. This cross-sectional study utilized the National Anesthesia Clinical Outcomes Registry, a multicenter quality-improvement database from 2010 to 2015. Patients with cirrhosis undergoing an endoscopy were identified by International Classification of Diseases, Ninth Revision (ICD-9)/Current Procedures Terminology (CPT) codes. The outcome of interest was serious anesthesia-related complication defined as cardiovascular, respiratory, neurological, drug related, patient injury, death, or unexpected admission. A mixed-effects multivariate logistic regression model determined odds ratios (ORs) between variables and serious complications, adjusting for potential confounders. In total, 9,007 endoscopic procedures were performed among patients with cirrhosis; 92% were esophagogastroduodenoscopies. The majority (81%) were American Society of Anesthesiologists (ASA) class ≥3, and 72% had a history of hepatic encephalopathy, ascites, varices, hepatorenal syndrome, or spontaneous bacterial perito...Continue Reading

References

Apr 1, 2006·The American Journal of Gastroenterology·Lawrence B CohenJames Aisenberg
Nov 13, 2007·Alimentary Pharmacology & Therapeutics·J R KramerH B El-Serag
Jan 15, 2008·Gut·S Møller, J H Henriksen
Feb 26, 2009·Postgraduate Medical Journal·S Møller, J H Henriksen
Oct 24, 2012·Journal of Clinical Gastroenterology·Mahendra S NehraAmit G Singal
Mar 13, 2013·JAMA Internal Medicine·Gregory S CooperDouglas K Rex
Jul 31, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Barbara BielawskaLawrence C Hookey
Dec 10, 2013·Diseases of the Colon and Rectum·Adewunmi AdeyemoHarry Wasvary
Nov 7, 2015·Digestive Diseases and Sciences·Chan Hyuk ParkJoo Hyun Sohn
Dec 29, 2015·Gastroenterology·Karen J WernliJohn M Inadomi
May 18, 2016·Journal of Clinical Anesthesia·Margaret N TillquistRichard D Urman
Oct 21, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vaibhav WadhwaJohn J Vargo
Oct 28, 2016·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Guadalupe Garcia-TsaoJaime Bosch
Feb 8, 2018·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Srikar MapakshiFasiha Kanwal
May 19, 2018·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Alina M AllenRozalina G McCoy

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Citations

Sep 4, 2020·World Journal of Gastrointestinal Endoscopy·John Alexander Lata GuachoEduardo Guimarães Hourneaux de Moura
Jun 26, 2021·Digestive Diseases and Sciences·Brian M FungJames H Tabibian
Jun 15, 2021·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Jerome C Edelson, Don C Rockey

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