What is it about?
Endoscopic retrograde cholangiopancreatography (ERCP) can produce abdominal pain. The most common anesthetic techniques used for this procedure were general anesthesia (GA) and intravenous sedation (IVS) techniques. The aim of the study is to assess and compare the pain scores after early (24 hour) post-therapeutic ERCP of adult patients underwent GA and IVS.
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Why is it important?
After matching ASA physical status, indication and interventions of procedure, there were 25 ERCP procedures in group GA and 73 ERCP procedures in group IVS. Mean pain score at baseline was not significantly different between the two groups. Mean pain scores at 2, 6, 12, 18 and 24 hours post-ERCP, and the total dose of pethidine used for pain control after ERCP in both groups were not significantly different. Anesthesia-related complications were not significantly different between the two groups. Procedure-related complications in both groups were none.
Perspectives
Pain score within twenty-four hours post-therapeutic ERCP does not depend on anesthetic technique. Therapeutic ERCP-induced abdominal pain in general anesthesia and intravenous sedation technique is comparable. Pain scores in both groups are low.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
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This page is a summary of: T295 PAIN SCORE WITHIN TWENTY-FOUR HOURS POST-THERAPEUTIC ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY DOES NOT DEPEND ON ANESTHETIC TECHNIQUE, European Journal of Pain Supplements, September 2011, Wiley,
DOI: 10.1016/s1754-3207(11)70213-9.
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