Artikel ; Online: A prospective safety study of a low-dose propofol sedation protocol for colonoscopy.
2007 Band 5, Heft 5, Seite(n) 563–566
Abstract: Background & aims: Propofol has been shown to be an effective method for endoscopic sedation but there are few studies of low-dose propofol protocols for gastrointestinal endoscopy.: Methods: One hundred patients (American Society of Anesthesiology ... ...
Abstract | Background & aims: Propofol has been shown to be an effective method for endoscopic sedation but there are few studies of low-dose propofol protocols for gastrointestinal endoscopy. Methods: One hundred patients (American Society of Anesthesiology classes I-III) undergoing outpatient colonoscopy were enrolled prospectively in a multidrug propofol regimen that consisted of propofol, midazolam, and meperidine. Study outcome measures evaluated the level of sedation, length of procedure, sedation/recovery time, patient satisfaction, and adverse events. Results: The mean dose of propofol was 90 +/- 40 mg. The mean times for induction of sedation, reaching the cecum, and total procedure time were 3 +/- 1 minutes, 5 +/- 3 minutes, and 17 +/- 4 minutes, respectively. Deep sedation was observed in only 0.3% of observations. Postprocedure, the mean times to stand at the bedside without assistance, completion of all discharge criteria, and actual discharge were 10 +/- 8 minutes, 20 +/- 20 minutes, and 37 +/- 23 minutes, respectively. Patient satisfaction ratings were high on a 10-point scale, with mean total procedure and sedation satisfaction scores of 9.4 +/- 0.8 and 9.4 +/- 1.1. In 99% of patients, no supplemental oxygen was required. No serious adverse events occurred. Conclusions: This protocol for propofol administration is safe and effective for patients undergoing elective colonoscopy. The level of sedation was titrated readily to a moderate level of sedation while preserving a high degree of patient satisfaction. |
---|---|
Mesh-Begriff(e) | Adjuvants, Anesthesia/administration & dosage ; Adult ; Colonoscopy ; Conscious Sedation/methods ; Dose-Response Relationship, Drug ; Drug Administration Schedule ; Drug Therapy, Combination ; Female ; Humans ; Hypnotics and Sedatives/administration & dosage ; Hypnotics and Sedatives/adverse effects ; Male ; Meperidine/administration & dosage ; Midazolam/administration & dosage ; Middle Aged ; Patient Satisfaction ; Propofol/administration & dosage ; Propofol/adverse effects ; Prospective Studies |
Chemische Substanzen | Adjuvants, Anesthesia ; Hypnotics and Sedatives ; Meperidine (9E338QE28F) ; Midazolam (R60L0SM5BC) ; Propofol (YI7VU623SF) |
Sprache | Englisch |
Erscheinungsdatum | 2007-05 |
Erscheinungsland | United States |
Dokumenttyp | Clinical Trial ; Journal Article |
ZDB-ID | 2119789-1 |
ISSN | 1542-7714 ; 1542-3565 |
ISSN (online) | 1542-7714 |
ISSN | 1542-3565 |
DOI | 10.1016/j.cgh.2007.01.013 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
Zusatzmaterialien
Kategorien
Verfügbar in ZB MED Köln/Königswinter
Zs.A 5836: Hefte anzeigen | Standort: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Über subito bestellen
Dieser Service ist kostenpflichtig (siehe Lieferbedingungen von subito). Bestellungen, die einen Artikel nebst Supplementary Material umfassen, werden grundsätzlich wie mehrfache Bestellungen bearbeitet. Gebühren fallen in diesen Fällen für jede einzelne Bestellung an.