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Feasibility of Non-Anesthesiologist-Administered Propofol Sedation for Emergency Endoscopic Retrograde Cholangiopancreatography
Joint Authors
Tsuchiya, Takayoshi
Moriyasu, Fuminori
Mukai, Shuntaro
Ikeuchi, Nobuhito
Itoi, Takao
Gotoda, Takuji
Kusano, Chika
Kono, Shin
Kamada, Kentaro
Tominaga, Naoyuki
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-29
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
The safety of non-anesthesiologist-administered propofol (NAAP) sedation in emergent endoscopic retrograde cholangiopancreatography (ERCP) has not been fully clarified.
Thus, the aim of this study was to assess the safety of NAAP sedation in emergent ERCP.
Materials and Methods.
We retrospectively analyzed 182 consecutive patients who had obstructive jaundice and who underwent ERCP under NAAP sedation.
The patients were divided into Group A (with mild acute cholangitis or without acute cholangitis) and Group B (moderate or severe acute cholangitis).
And technical safety and adverse events were assessed.
Results.
The adverse events were hypoxia (31 cases), hypotension (26 cases), and bradycardia (2 cases).
There was no significant difference in the rate of each adverse event of hypoxia and bradycardia in either group.
Although the rate of transient hypotension associated in Group B was higher than that in Group A, it was immediately improved with conservative treatment.
Moreover, there were no patients who showed delayed awakening, or who developed other complications.
Conclusions.
In conclusion, NAAP sedation is feasible even in emergent ERCP.
Although some transient adverse events (e.g., hypotension) were observed, no serious adverse events occurred.
Thus, propofol can be used in emergent ERCP but careful monitoring is mandatory.
American Psychological Association (APA)
Ikeuchi, Nobuhito& Itoi, Takao& Gotoda, Takuji& Kusano, Chika& Kono, Shin& Kamada, Kentaro…[et al.]. 2015. Feasibility of Non-Anesthesiologist-Administered Propofol Sedation for Emergency Endoscopic Retrograde Cholangiopancreatography. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1064087
Modern Language Association (MLA)
Ikeuchi, Nobuhito…[et al.]. Feasibility of Non-Anesthesiologist-Administered Propofol Sedation for Emergency Endoscopic Retrograde Cholangiopancreatography. Gastroenterology Research and Practice No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1064087
American Medical Association (AMA)
Ikeuchi, Nobuhito& Itoi, Takao& Gotoda, Takuji& Kusano, Chika& Kono, Shin& Kamada, Kentaro…[et al.]. Feasibility of Non-Anesthesiologist-Administered Propofol Sedation for Emergency Endoscopic Retrograde Cholangiopancreatography. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1064087
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064087