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Carbon Dioxide Insufflation in Routine Colonoscopy Is Safe and More Comfortable : Results of a Randomized Controlled Double-Blinded Trial
المؤلفون المشاركون
Guller, U.
Geyer, M.
Beglinger, C.
المصدر
Diagnostic and Therapeutic Endoscopy
العدد
المجلد 2011، العدد 2011 (31 ديسمبر/كانون الأول 2011)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2011-06-15
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Many patients experience pain and discomfort after colonoscopy.
Carbon dioxide (CO2) can reduce periprocedural pain although air insufflation remained the standard procedure.
The objective of this double-blinded, randomized controlled trial was to evaluate whether CO2 insufflation does decrease pain and bloating during and after colonoscopy compared to room air.
Methods.
219 consecutive patients undergoing colonoscopy were randomized to either CO2 or air insufflation.
Propofol was used in all patients for sedation.
Transcutaneous CO2 was continuously measured with a capnograph as a safety parameter.
Pain, bloating, and overall satisfaction were assessed at regular intervals before and after the procedure.
Results(data are mean ±SD).
110 patients were randomized to CO2 and 109 to room air.
The baseline characteristics were similar in both groups.
The mean propofol dose was not different between the treatments, as were the time to reach the ileum and the withdrawal time.
pCO2 at the end of the procedure was 35.2±4.3 mmHg (CO2 group) versus 35.6±6.0 mmHg in the room air group (P>.05).
No relevant complication occurred in either group.
There was significantly less bloating for the CO2 group during the postprocedural recovery period (P<.001) and over the 24-hour period (P<.001).
Also, patients with CO2 insufflation experienced significantly less pain (P=.014).
Finally, a higher overall satisfaction (P=.04 ) was found in the CO2 group.
Conclusions.
This trial provides compelling evidence that CO2 insufflation significantly reduces bloating and pain after routine colonoscopy in propofol-sedated patients.
The procedure is safe with no significant differences in CO2 between the two groups.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Geyer, M.& Guller, U.& Beglinger, C.. 2011. Carbon Dioxide Insufflation in Routine Colonoscopy Is Safe and More Comfortable : Results of a Randomized Controlled Double-Blinded Trial. Diagnostic and Therapeutic Endoscopy،Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-467356
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Geyer, M.…[et al.]. Carbon Dioxide Insufflation in Routine Colonoscopy Is Safe and More Comfortable : Results of a Randomized Controlled Double-Blinded Trial. Diagnostic and Therapeutic Endoscopy No. 2011 (2011), pp.1-6.
https://search.emarefa.net/detail/BIM-467356
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Geyer, M.& Guller, U.& Beglinger, C.. Carbon Dioxide Insufflation in Routine Colonoscopy Is Safe and More Comfortable : Results of a Randomized Controlled Double-Blinded Trial. Diagnostic and Therapeutic Endoscopy. 2011. Vol. 2011, no. 2011, pp.1-6.
https://search.emarefa.net/detail/BIM-467356
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-467356
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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