
pmid: 20486747
propofol is a hypnotic used with increasing frequency for sedation during endoscopic procedures. Most of the reports published related with its employment by non-anaesthesiologists, refers to basic endoscopy, with little reference to its use in advanced endoscopy.to evaluate the efficacy and safety of propofol sedation administered by endoscopists, while performing percutaneous endoscopic gastrostomy, an advanced technique that is usually performed in high anesthetic level risk patients.prospective study of a series of endoscopic gastrostomy performed consecutively in our department; the sedation was carried out exclusively with propofol. The staff in the room consisted of two medical gastroenterologists, a nurse and a nursing assistant. Propofol was administered by bolus doses adjusted to patient weight. Arterial oxygen saturation, heart rate and blood pressure were monitored; respiratory activity was monitored visually by observing respiratory excursions of the patient.we included 47 patients, with an average age of 82 years. 87% were ASA III and the rest, ASA IV. The mean dose of propofol was 51 mgr. Complications were recorded: 8 cases of desaturation and two of hypotension, all of them minor and quickly reversible. All procedures were carried out successfully, at a median time of 8 minutes.the propofol sedation carried out by non-anaesthesiologist trained staff, seems to appear as a safe and effective procedure while performing percutaneous endoscopic gastrostomy.
Adult, Aged, 80 and over, Male, Risk, Sedation by non-anaesthesiologists, Percutaneous endoscopic gastrostomy, Conscious Sedation, Middle Aged, Endoscopy, Gastrointestinal, Monitoring, Intraoperative, Humans, Hypnotics and Sedatives, Female, Gastrostomía percutánea endoscópica, Prospective Studies, Sedación por no anestesistas, Propofol, Aged
Adult, Aged, 80 and over, Male, Risk, Sedation by non-anaesthesiologists, Percutaneous endoscopic gastrostomy, Conscious Sedation, Middle Aged, Endoscopy, Gastrointestinal, Monitoring, Intraoperative, Humans, Hypnotics and Sedatives, Female, Gastrostomía percutánea endoscópica, Prospective Studies, Sedación por no anestesistas, Propofol, Aged
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 10 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
