Viability of single balloon enteroscopy performed under endoscopist-directed sedation

Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva
Leopoldo López RosésÁngel Lancho

Abstract

there is a lot of controversy with regard to who should be responsible for sedation during digestive endoscopy, particularly in advanced procedures that require deep sedation such as enteroscopy. The aim of this study was to evaluate the endoscopist-directed sedation viability during single balloon enteroscopy. this was a prospective, observational study of a series of consecutive enteroscopies. The clinical staff included an endoscopist, scrub nurse and a nurse in charge of monitoring and sedative administration. The following parameters were monitored: pulse oximetry, blood pressure (every five minutes), electrocardiogram and respiratory rate. There was continuous supplemental oxygen and CO2 insufflation. The patient was in the left lateral decubitus position and a fluoroscopic control was used. forty-four explorations were performed in 39 patients, 24 were male and 15 female. The median age was 74 (18-89) and the ASA score was I in 12 cases, II in 23 cases and III in nine cases. Comorbidities were present in 68% of cases. The drugs used included propofol in 23 cases, propofol and midazolam in ten cases, propofol/midazolam/fentanyl in two cases, propofol and fentanyl in two cases, and midazolam/fentanyl in seven cases. All pr...Continue Reading

References

Apr 20, 2002·Anesthesiology·UNKNOWN American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists
Oct 25, 2002·Gastrointestinal Endoscopy·Douglas O FaigelUNKNOWN Standards Practice Committe, American Society for Gastrointestinal Endoscopy
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Mar 29, 2006·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·E Pérez-CuadradoF Carballo
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Apr 9, 2009·European Journal of Gastroenterology & Hepatology·Juan-Salvador BaudetJuan Avilés
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Jun 29, 2010·Gastrointestinal Endoscopy·Rajeev JainJason Dominitz
Nov 19, 2010·Orvosi hetilap·László ZubekGábor Elo
May 26, 2012·Gastrointestinal Endoscopy·UNKNOWN American Association for Study of Liver DiseasesLawrence R Schiller
Nov 29, 2012·World Journal of Gastrointestinal Endoscopy·Riccioni Maria ElenaCostamagna Guido
Jul 26, 2014·Endoscopy·F IgeaF Vida
Apr 1, 2015·Endoscopy·Alfredo J LucendoUNKNOWN Spanish Society of Digestive Diseases, Spanish Society of Digestive Endoscopy, and Spanish Association of Gastroenterology
Feb 26, 2016·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Enrique Pérez-Cuadrado RoblesLeopoldo López Roses
Oct 21, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Vaibhav WadhwaJohn J Vargo

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Citations

Mar 21, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Enrique Pérez-Cuadrado RoblesChristophe Cellier
Jul 18, 2021·Gastrointestinal Endoscopy·Jesús García-CanoCarlos Dolz-Abadía

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