Gastrointestinal endoscopy
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Gastrointest. Endosc. · Jul 2001
Randomized Controlled Trial Comparative Study Clinical TrialSafer colonoscopy with patient-controlled analgesia and sedation with propofol and alfentanil.
The aim of this study was to assess the efficacy of patient-controlled analgesia and sedation with propofol/alfentanil for colonoscopy compared with continuous drug infusion and conventional nurse-administered medication. ⋯ Patient-controlled administration of propofol and alfentanil for colonoscopy may provide a better margin of safety than conventional administration of midazolam and meperidine and results in a higher level of patient satisfaction and shorter recovery.
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Gastrointest. Endosc. · Jul 2001
Randomized Controlled Trial Comparative Study Clinical TrialPatient-controlled sedation with propofol for colonoscopy.
Patient-controlled sedation (PCS) allows the patient to titrate the dosage of sedative drugs according to need. ⋯ PCS with propofol is effective and results in high patient satisfaction and faster discharge.
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Gastrointest. Endosc. · Jul 2001
Patient-maintained sedation for ERCP with a target-controlled infusion of propofol: a pilot study.
ERCP requires patient cooperation and often prolonged sedation. In different areas of anesthetic practice, patient-controlled sedation with a target-controlled infusion (TCI) of propofol provides effective sedation. The aim of this study was to assess the safety and efficacy of the same system in patients undergoing ERCP. ⋯ Patient-maintained sedation with TCI propofol was safe and fully effective in 16 patients. Ease of endoscopy was rated high by the endoscopists, and all patients were well satisfied with their sedation. Adjustments to the software programming are being evaluated to increase the safety profile to avoid oversedation.