PMID: 9634119Jun 20, 1998Paper

Patient-controlled anesthesia for colonoscopy using propofol: results of a pilot study

Southern Medical Journal
D R HeimanJ A DiPalma

Abstract

We studied the feasibility of using patient-controlled anesthesia (PCA) for conscious sedation during colonoscopy. Patients having elective colonoscopy had medications delivered in bolus fashion by PCA pump (Abbot Lifecare Provider 5500 Infusion System). Four patients received propofol as 20 mg/dose boluses, and four patients received propofol in a 0.3 mg/kg/dose. Twelve patients received propofol at 0.2 mg/kg/dose with alfentanil at 4 microg/kg/dose. There were no clinically unacceptable changes in continuously monitored blood pressure, pulse rate, ECG, or respiratory rate. There were no adverse effects from the sedation and no complications due to colonoscopy. Recovery time was rapid, but recall persisted in most subjects. Pain and overall discomfort in patients given propofol only were rated as moderate by most subjects. Patient-controlled anesthesia is feasible for use in endoscopic sedation. Propofol alone did not allow adequate pain relief, but propofol and alfentanil together seemed to provide good control of pain.

Citations

Feb 10, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Lionel BouvetEmmanuel Boselli
Jun 12, 1999·Annales Françaises D'anesthèsie Et De Rèanimation·F SztarkP Erny
May 26, 2001·Gastrointestinal Endoscopy·D B NelsonUNKNOWN American Society for Gastrointestinal Endoscopy. Technology Committee
Dec 19, 2012·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Lorella FantiPier Alberto Testoni
Dec 18, 2009·Acta Anaesthesiologica Taiwanica : Official Journal of the Taiwan Society of Anesthesiologists·Teng-Kuei HsiehEdmund Cheung So
Oct 17, 2008·Gastrointestinal Endoscopy Clinics of North America·Daniel J Pambianco
Aug 8, 2007·Gastroenterology·Lawrence B CohenUNKNOWN AGA Institute
May 4, 2004·Gastrointestinal Endoscopy Clinics of North America·Daniel KüllingPeter Biro
Feb 26, 2014·Brazilian Journal of Anesthesiology·Hacer Şebnem TürkSibel Oba
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Apr 2, 2004·The American Journal of Gastroenterology·Ludwig T HeussChristoph Beglinger
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Apr 22, 2004·Journal of Clinical Gastroenterology·Eric J EschingerDavid M Kastenberg

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