Current sedation and monitoring practice for colonoscopy: an international observational study (EPAGE)

Détails

ID Serval
serval:BIB_254E1B6CE16B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Current sedation and monitoring practice for colonoscopy: an international observational study (EPAGE)
Périodique
Endoscopy
Auteur⸱e⸱s
Froehlich Florian, Harris Jennifer K., Wietlisbach Vincent, Burnand Bernard, Vader John-Paul, Gonvers Jean-Jacques
Collaborateur⸱rice⸱s
European EPAGE Study Group
ISSN
0013-726X
Statut éditorial
Publié
Date de publication
2006
Volume
38
Numéro
5
Pages
461-469
Notes
SAPHIRID:58653
Résumé
BACKGROUND AND STUDY AIMS: Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internationally. PATIENTS AND METHODS: This observational study included consecutive patients referred for colonoscopy at 21 centers in 11 countries. Endoscopists reported sedation and monitoring practice, using a standard questionnaire for each patient. RESULTS: 6004 patients were included in this study, of whom 53 % received conscious/moderate sedation during colonoscopy, 30 % received deep sedation, and 17 % received no sedation. Sedation agents most commonly used were midazolam (47 %) and opioids (33 %). Pulse oximetry was done during colonoscopy in 77 % of patients, blood pressure monitoring in 34 %, and electrocardiography in 24 %. Pulse oximetry was most commonly used for moderately sedated patients, while blood pressure monitoring and electrocardiography were used predominantly for deeply sedated patients. Sedation and monitoring use ranged from 0 % to 100 % between centers. Oxygen desaturation (</= 85 %) occurred in 5 % of patients, of whom 80 % were moderately sedated. On average, three staff members were involved in procedures. An anesthesiologist was present during 27 % of colonoscopies, and during 85 % of colonoscopies using deep sedation. CONCLUSIONS: Internationally, sedation and monitoring practice during colonoscopy varied widely. Moderate sedation was the most common sedation method used and electronic monitoring was used in three-quarters of patients. Deep sedation tended to be more resource-intensive, implying a greater use of staff and monitoring. [Authors]
Mots-clé
Colonoscopy , Conscious Sedation , Hypnotics and Sedatives , Monitoring, Physiologic , Physician's Practice Patterns
Pubmed
Web of science
Création de la notice
04/03/2008 15:58
Dernière modification de la notice
20/08/2019 14:03
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