Gastrointestinal endoscopy
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Gastrointest. Endosc. · Apr 2011
Randomized Controlled Trial Multicenter Study Comparative StudyComputer-assisted personalized sedation for upper endoscopy and colonoscopy: a comparative, multicenter randomized study.
The SEDASYS System is an investigational computer-assisted personalized sedation system integrating propofol delivery with patient monitoring to enable endoscopist/nurse teams to safely administer propofol. ⋯ The SEDASYS System could provide endoscopist/nurse teams a safe and effective on-label means to administer propofol to effect minimal to moderate sedation during routine colonoscopy and EGD.
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Gastrointest. Endosc. · Apr 2011
Randomized Controlled Trial Comparative StudyCarbon dioxide insufflation compared with air insufflation in double-balloon enteroscopy: a prospective, randomized, double-blind trial.
Few studies have evaluated the degree of pain, the amount of retained gas, and the safety of carbon dioxide (CO(2)) insufflation in patients undergoing double-balloon enteroscopy (DBE). ⋯ CO(2) insufflation is a safe and useful procedure when performed during DBE.
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Gastrointest. Endosc. · Apr 2011
Randomized Controlled Trial Comparative StudySingle-balloon versus double-balloon endoscopy for achieving total enteroscopy: a randomized, controlled trial.
Balloon endoscopy has been accepted as an effective tool for examining the small intestine. Two types of balloon endoscopy, single and double, are commercially available. The difference in performance between these 2 types of balloon endoscopy has not yet been elucidated. ⋯ Total enteroscopy is more easily performed with DBE than with SBE.
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Gastrointest. Endosc. · Apr 2011
Comparative StudyA prospective assessment of sedation-related adverse events and patient and endoscopist satisfaction in ERCP with anesthesiologist-administered sedation.
Despite the increasing use of anesthesiologist-administered sedation for monitored anesthesia care (MAC) or general anesthesia in patients undergoing ERCP, limited prospective data exist on the effectiveness, safety, and cost of this approach. ⋯ Higher American Society of Anesthesiologists class and body mass index are associated with an increased rate of cardiac and respiratory events during ERCP. Cardiac and respiratory events are generally minor, and MAC can be considered a safe option for most ERCP patients. Despite the frequency of minor sedation-related events, procedure interruption or premature termination was rare in the setting of anesthesiologist-administered sedation.