AMBULATORY ANAESTHESIA

L. Cunningham, A. Sivevski, A. Cruz, T. Van Helder, M. Sotomayor, L. A. Mukmin, D. Karadzova, B. K. Baral, S. Mahsufi, M. Natarajan, R. r. Shrestha, J. Tse, M. Nizar, D. Reddy, A. Jalil, D. Zuker, M. Negron-Gonzalez, D. Vernetta, M. Buffa, K. Dauphinee, S. Barsoum, B. Ewah, G. Messina, P. Robb, A. Alvarez, C. Buffa, I. Churruca, V. Caride, H. B. Eryylmaz, G. Martinez, D. Memis, D. Hernando, F. Werhun, A. Sezer, E. Bilesio, S. Niveyro, M. T. Ina, S. Gayer, M. Sandi, G. Orce, A. G. J. Antonio, H. Palte, H. Inacio, A. Ribeiro, I. Abrantes, A.-G. P. Pedro, J.-M. Parel, H. Sen, G. Inangil, E. Arrieta-Quintero, C. F. M. Dolores, M. Kuyumcu, G. R. Inmaculada, I. Nose, H. Cansiz, G. Dagli, R. R. J. Antonio, E. Yedekci, I. Idov, P. Rylov, A. Lopatin, S. Bersenyov, S. Ozkan, V. Komlev, M. Carnevali, M. Muravyeva, C. Perez, S. Kostarev, J. C. S. Nicora, M. Germanovich, M. Schreiner, D. M. L. Cubillos, I. Khapiy, V. M. Marquinez, A. Chudaev, M. Fiederling, H. Ackermann, J. M. B. i. Pons, S. Amornyotin, J. Wolfgang, W. Chalayonnawin, F. Kehl, S. Kongphlay, S. Sabate, S. S. Diaz, J. F. Mayoral, J. C. Ortiz, U. Kachintorn, P. Sierra, L. Gramaglia, A. Renghi, S. K. Kar, R. Cassatella, C. Sen, M. Martelli, K. Ghosh, P. Brustia, O. Aguirre, A. G. Oswami, A. Rios, C. Eyo, L. Nienaber, M. Calderon, L. M. Gomez, H. K. Kabukcu, P. Mononen, I. Udo, M. S. Karakas, M. Shosholcheva, A. Yanikoglu, N. Sahyn, T. A. Tytyz, I. Kostov, E. Akpanudo, B. R. Shrestha, J. P. Pacheco, B. Gautam, S. Shrestha, M. Serra, A. Udo, S. K. Maharjan, J. Blazquez, F. L. Delgado, J. Planell, F. Gordo, D. Espada, T. Simurina, L. Americo, B. Mraovic, Z. Sonicki, M. Yamashita, C. Hunter, G. Rivera, M. Jose, E. J. Chidiac, D. Bajic, M. Wong, G. Kathryn Commons, M. Templer, D. Cvetkovic, S. G. Soriano, S. Stojanova, G. Lundeg, L. Soskic, R. Filipovski, C. I. De Cruzado, M. Sosolceva, M. Kocica, T. Trojic, I. M. Lean, B. Milicic, H. Yusop, D. Bilskiene, A. Macas, N. Kovacevic, C. Y. Liu, M. Vranes, A. Vilke, N. A. Manap, K. Kamiutsuri, L. Chi, A. Tamasauskas, Y. Oda, A. Al-Ibraheemi, A. Babu, D. Ferson, R. Okutani, A. Levison, B. Bhattarai, R. Ford, F. D. P. Araujo, R. Carvalho, M. A. C. de Resende, S. Rushby, J. P. Braganca, A. Vieira, P. Dodd, L. Calixto, P. Marcio, D. G. Picasso, M. Vasconcelos, I. Olan, I. Delaporte, A. R. Brito, E. Pugente, V. B. Espinoza, K. Gunn, M. Vargas, H. K. Tsang, S. Spasovski, M. Gobbi, P. Morgan, S. Syed, V. Bozinovska, N. Wong, O. Salehian
  • British Journal of Anaesthesia, March 2012, Oxford University Press (OUP)
  • DOI: 10.1093/bja/aer472

Oxygen supplementation for propofol-based deep sedation for colonoscopy: nasal cannula VS face mask

What is it about?

During deep sedation, oxygen supplementation is an essential role to prevent arterial desaturation. Many types of oxygen devices are available. The objective of the study was to evaluate and compare the complication rate of propofol-based deep sedation (PBDS) for colonoscopic procedure in patients with oxygen supplement with nasal cannula and face mask during the procedure in a tertiary care hospital in Thailand.

Why is it important?

After matching age, weight, body mass index, ASA physical status and the indications of procedure, there were 98 colonoscopic procedures in nasal cannula group (N) and 104 procedures in face mask group (M). In group N, there were 38 male and 60 female and mean age was 51.1 (9.1) years old. In group M, there were 35 male and 69 female and mean age was 51.7 (9.1) years old. 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, indication, complications, anesthetic personnel and mortality rate between the two groups. The most common complication in both groups was hypotension (25.5% and 22.1% in group N and M, p = 0.571). Procedure related complication was none.

Perspectives

Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University

The complication rate during oxygen supplementation with nasal cannula and face mask for PBDS for colonoscopic procedure was comparable. Although, the complication rate in both groups was relatively high, all complications were easily treated, with no adverse sequelae.

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http://dx.doi.org/10.1093/bja/aer472

The following have contributed to this page: Somchai Amornyotin and Prof. Mirjana Shosholcheva