Dergiler / Turkish Journal of Gastroenterology / 2015 / Cilt: 26 - Sayı: 5

Sedation for gastrointestinal endoscopy with the application of target-controlled infusion

Sayfa
417–22
DOI
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Keywords: Endoscopy, sedation, propofol citrAlanigirO

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Amaç & Hipotez:Background/Aims: A majority of esophagogastroduodenoscopy (EGD) and colonoscopy procedures are per- formed under sedation, with the intravenous administration of a hypnotic agent combined with an opioid analge- sic agent.
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Temel Bulgular & Veri:In total, 100 adult outpatients scheduled for upper and lower GI endoscopies were included and randomly allocated to a control group (n=50) and a TCI group (n=50).
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Sonuç & Katkı:Keywords: Endoscopy, sedation, propofol citrAlanigirO
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Background/Aims: A majority of esophagogastroduodenoscopy (EGD) and colonoscopy procedures are per- formed under sedation, with the intravenous administration of a hypnotic agent combined with an opioid analge- sic agent. The goal of our study was to establish the quality and plausibility of target-controlled infusion (TCI) as a sedation mechanism for upper and lower gastrointestinal (GI) endoscopies. Materials and Methods: A randomized, single-blinded, controlled clinical trial was arranged in a local community hospital. In total, 100 adult outpatients scheduled for upper and lower GI endoscopies were included and randomly allocated to a control group (n=50) and a TCI group (n=50). The sedation quality was assessed using the simplified quality of an anesthesia scoring system. Categorical parameters were compared using Pearsons chi-square test. Continuous parameters that were normally distributed were further compared using Students t-test, and the oth- ers were compared using the Mann Whitney test. Results: The significantly lower anesthesia quality score in the TCI group (12.2 vs. 12.7) indicated that the anesthe- sia quality was better in this group. Conclusion: This study showed that sedation using TCI for GI endoscopy provided safe and effective sedation and was associated with a better sedation quality. We believe that TCI can be used to provide routine sedation for patients receiving GI endoscopy. Keywords: Endoscopy, sedation, propofol citrAlanigirO

Abstract

Background/Aims: A majority of esophagogastroduodenoscopy (EGD) and colonoscopy procedures are per- formed under sedation, with the intravenous administration of a hypnotic agent combined with an opioid analge- sic agent. The goal of our study was to establish the quality and plausibility of target-controlled infusion (TCI) as a sedation mechanism for upper and lower gastrointestinal (GI) endoscopies. Materials and Methods: A randomized, single-blinded, controlled clinical trial was arranged in a local community hospital. In total, 100 adult outpatients scheduled for upper and lower GI endoscopies were included and randomly allocated to a control group (n=50) and a TCI group (n=50). The sedation quality was assessed using the simplified quality of an anesthesia scoring system. Categorical parameters were compared using Pearson s chi-square test. Continuous parameters that were normally distributed were further compared using Student s t-test, and the oth- ers were compared using the Mann Whitney test. Results: The significantly lower anesthesia quality score in the TCI group (12.2 vs. 12.7) indicated that the anesthe- sia quality was better in this group. Conclusion: This study showed that sedation using TCI for GI endoscopy provided safe and effective sedation and was associated with a better sedation quality. We believe that TCI can be used to provide routine sedation for patients receiving GI endoscopy. Keywords: Endoscopy, sedation, propofol citrAlanigirO

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Bu Makaleye Atıf Yap

CHANG, Y., TSAİ, T., HSU, H., CHEN, Y., CHİ, K., PENG, S. (2015). Sedation for gastrointestinal endoscopy with the application of target-controlled infusion. Turkish Journal of Gastroenterology, Cilt: 26 - Sayı: 5, 417–22. https://ajindex.com/articles/411318

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Kaynakça (14)

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