PMID: 18183278Jan 10, 2008Paper

Propofol in combination with meperidine and midazolam in colonoscopy and upper endoscopy: first prospective study in private practice in Peru

Revista de gastroenterología del Perú : órgano oficial de la Sociedad de Gastroenterología del Perú
Martín TagleMaría Ramos

Abstract

There is currently a vast experience reported in the literature with respect to Propofol utilization as a single agent and in combination with narcotics and/or benzodiazepines in endoscopic procedures, without the presence of an anesthesiologist in the endoscopy suite. Over 200 thousand reported procedures have demonstrated safety and excellent acceptance by patients. To report the experience in a private endoscopy center in Lima utilizing propofol in combination with Meperidine and Midazolam in colonoscopies and upper endoscopies, administered by a nurse supervised by a trained gastroenterologist without the presence of an anesthesiologist. We included adult patients with low or moderate risk for sedation, subjected to colonoscopy and / or upper endoscopy between November 2006 and September 2007 in the Gastroenterology Service at the Clinica Anglo Americana in Lima. Meperidine 25 mg IV was administered for colonoscopy and 50 mg IV for upper endoscopy and Midazolam 1.5 mg for both procedures as premedication. All the patients received Oxygen 2 L/min per nasal cannula throughout the procedure. After the above mentioned premedication, an initial bolus of propofol (10 - 30 mg) was administered, according to the general condition o...Continue Reading

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