One year experience with computer-assisted propofol sedation for colonoscopy

World Journal of Gastroenterology : WJG
Otto S LinAndrew Ross

Abstract

To report our one-year experience with computer assisted propofol sedation (CAPS) for colonoscopy as the first United States Medical Center to adopt CAPS technology for routine clinical use. Between September 2014 and August 2015, 2677 patients underwent elective outpatient colonoscopy with CAPS at our center. All colonoscopies were performed by 1 of 17 gastroenterologists certified in the use of the CAPS system, with the assistance of a specially trained nurse. Procedural success rates, polyp detection rates, procedure times and recovery times were recorded and compared against corresponding historical measures from 2286 colonoscopies done with midazolam and fentanyl from September 2013 to August 2014. Adverse events in the CAPS group were recorded. The mean age of the CAPS cohort was 59.9 years (48.7% male); 31.3% were ASA I, 67.3% ASA II and 1.4% ASA III. 45.1% of the colonoscopies were for screening, 31.5% for surveillance, and 23.4% for symptoms. The mean propofol dose administered was 250.7 mg (range 16-1470 mg), with a mean fentanyl dose of 34.1 mcg (0-100 mcg). The colonoscopy completion and polyp detection rates were similar to that of historical measures. Recovery times were markedly shorter (31 min vs 45.6 min, P < 0...Continue Reading

References

Jun 25, 2009·Gastroenterology·Douglas K RexNizam Meah
Mar 23, 2012·JAMA : the Journal of the American Medical Association·Hangsheng LiuSoeren Mattke
Jul 2, 2014·Gastrointestinal Endoscopy·Akira Horiuchi, David Y Graham
Jul 1, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Kavita PatelMark McClellan
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Apr 12, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Spencer D Dorn

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Citations

Jun 6, 2018·Current Opinion in Anaesthesiology·Joshua W Sappenfield, Jeffrey D White
May 22, 2018·Current Opinion in Anaesthesiology·Otto S Lin, Wade Weigel
Sep 11, 2019·Current Opinion in Anaesthesiology·Johan Raeder
Jun 6, 2019·Digestive Diseases and Sciences·Otto S LinAndrew Ross
Sep 16, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Hyun Seok LeeOtto S Lin
Oct 11, 2020·The American Journal of Gastroenterology·Otto S LinAndrew Ross
May 14, 2021·The American Journal of Gastroenterology·Otto S LinAndrew Ross

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Methods Mentioned

BETA
sedation
surgical resection

Software Mentioned

CAPS
Provation
SPSS

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