• Bülent Baltaci, Hülya Başar, Murat Kekilli, Mert Nakip, Fatih Karaahmet, Mehmet Çakirca, Melis Engin, and Meltem Bektaş.
• Department of Anesthesiology and Reanimation, Ankara Training and Research Hospital, Ankara, Turkey
• Turk J Med Sci. 2020 Apr 9; 50 (2): 346-353.

Background/AimEndoscopic retrograde cholangiopancreatography (ERCP) often requires deep sedation. Propofol provides adequate sedation and amnesia at subhypnotic doses, but safe guarding the patient’s airway is important for preventing respiratory depression or hypoxic events. This study compared sedation levels, operator satisfaction, intraoperative and recovery characteristics using sevoflurane with nasal mask and propofol in ERCP.Material And MethodsSixty-one patients underwent ERCP (Group I: propofol, n = 31; Group II, sevoflurane, n = 30), with sedation controlled by the Ramsay sedation scale (RSS). The patients’ demographic data, procedure length, overall drug dose, hemodynamic changes, duration of recovery and Aldrete scores during recovery were evaluated. In addition, satisfaction of the gastroenterologist was evaluated.ResultsThe mean sphincterotomy satisfaction scores were statistically significant (P= 0.043). The Aldrete scores and RSS of the groups were similar; there was a significant difference between groups at the beginning of the procedure regarding peripheric oxygen saturations and Group II’s saturation levels increased during sedation.ConclusionIn ERCP, propofol infusion provides shorter recovery duration and adequate sedation levels. Sevoflurane and oxygen with a nasal mask can be chosen to generate specific anaesthesia in patients, especially for strong airway support and safety treating hypoxemic patients.This work is licensed under a Creative Commons Attribution 4.0 International License.

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