What is it about?
The aim of the study is to evaluate and compare the complication rate of propofol deep sedation (PDS) with or without topical pharyngeal anesthesia (TPA) for endoscopic ultrasonography (EUS) procedure in elderly patients.
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Why is it important?
After matching age, gender, ASA physical status, duration and indications of procedure, there were 90 procedures in group A and 92 procedures in group B. All sedation was given by residents or anesthetic nurses directly supervised by staff anesthesiologist in the endoscopy room. There were no significant differences in patients’ characteristics, sedation time, indications, alteration of blood pressure and heart rate as well as complication rate, anesthetic personnel and mortality rate between the two groups. However, upper airway obstruction in group B was relatively higher than in group A. All complications were easily treated, with no adverse sequelae.
Perspectives
Propofol deep sedation with or without topical pharyngeal anesthesia for endoscopic ultrasonography procedure in elderly patients was safe and effective. Complication rate and alteration of blood pressure and heart rate in both groups were comparable. Serious adverse events were rare in our population.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Read the Original
This page is a summary of: Propofol deep sedation with or without topical pharyngeal anesthesia for endoscopic ultrasonography procedure in elderly patients, Pancreatology, July 2013, Elsevier,
DOI: 10.1016/j.pan.2013.07.165.
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