Year 2018 / Volume 110 / Number 4
Original
Severe cardiorespiratory complications derived from propofol sedation monitored by an endoscopist

237-239

DOI: 10.17235/reed.2018.5282/2017

Sergio Maestro Antolín, Bruno Antonio Moreira Da Silva, Fernando Santos Santamarta, Arantza Germade, Laura Pérez Citores, Ana Santamaría, Rocío Bonoso Criado, Rosa Eva Madrigal, Esther Saracibar, Javier Barcenilla Laguna, Francisco Igea Arisqueta, Antonio Germán Pérez-Millán,

Abstract
Introduction: deep sedation with propofol monitored by an endoscopist in different endoscopy units is a controversial subject and the source of conflicts of interest between the various scientific societies of Anesthesiology and Gastroenterology. Many studies have already demonstrated the efficacy, efficiency and low incidence of complications associated with sedation when under the control of a trained endoscopist vs an anesthesiologist. Material and methods: the rate of severe cardiorespiratory complications during various endoscopic examinations (gastroscopy, colonoscopy, endoscopic retrograde cholangiopancreatography [ERCP] and endoscopic ultrasound [EUS]) where sedation was controlled by an endoscopist within our unit, from 2011 to 2016, was reviewed. Results: during the study period, 33,195 examinations were analyzed. The rate of cardiorespiratory complications was 0.13% and the majority were severe desaturations. Most cases responded to an opening in the airway associated with the interruption of drug infusion and an ambu bag was required in a few cases. There were no statistically significant differences between the different groups, except for mean age, risk by type of examination and ASA risk, where the difference between ERCP and the rest of examinations was statistically significant. Conclusion: there is a high level of evidence in the scientific literature suggesting that sedation controlled by a trained endoscopist is safe, effective and efficient. However, further prospective studies are required in order to confirm this conclusion due to the fact that the majority of studies to date are retrospective.
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References
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Maestro Antolín S, Moreira Da Silva B, Santos Santamarta F, Germade A, Pérez Citores L, Santamaría A, et all. Severe cardiorespiratory complications derived from propofol sedation monitored by an endoscopist . 5282/2017


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Publication history

Received: 29/09/2017

Accepted: 15/02/2018

Online First: 26/03/2018

Published: 02/04/2018

Article revision time: 132 days

Article Online First time: 178 days

Article editing time: 185 days


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