• Ó Martínez, D Ballesteros, B Estébanez, M Chana, B López, C Martín, Á Algaba, L Vigil, and R Blancas.
• Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España. Electronic address: intensivator@yahoo.es.
• Med Intensiva. 2014 Dec 1; 38 (9): 533-40.

ObjectiveTo determine tolerance, pain intensity, percentage of tests completed successfully and complications of deep sedation controlled by intensivists during gastrointestinal endoscopic procedures.DesignA one-year, prospective observational study was carried out.SettingDepartment of Intensive Care intervention in the Endoscopy Unit of Hospital Universitario del Tajo (Spain).PatientsSubjects over 15 years of age subjected to endoscopic procedures under deep sedation.ResultsA total of 868 patients were sedated during the study period, with the conduction of 1010 endoscopic procedures. The degree of tolerance was considered adequate («Very good»/«Good») in 96.9% of the patients (95%CI: 95.7-98.1%), with a median score of 0 on the pain visual analog scale. A total of 988 endoscopic procedures were successfully completed (97.8%; 95%CI: 96.9-98.8%): 675 colonoscopies (97.1%) and 305 endoscopies (99.7%). Complications were recorded in 106 patients (12.2%; 95%CI: 10.0-14.5%). The most frequent being desaturation (6.1%), rhythm disturbances (5.1%) and hypotension (2.4%).ConclusionGastrointestinal endoscopic procedures under sedation controlled by intensivists are well tolerated and satisfactory for the patient, and are successfully completed in a very large percentage of cases. The procedures are associated with frequent minor complications that are resolved successfully.Copyright © 2012 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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