PATIENT SAFETY, PRACTICE MANAGEMENT

S. Mitra, L. Cunningham, M. C. Almeida, J. Kronberg, P. Livingston, J. Semple, K. Pastorio, T. Musialowicz, L. Zolpys, Y. Koyama, O. Pitkanen, M. Hippelainen, C. Mukwesi, K. Ono, A. Valtola, H. Hidaka, P. Lahtinen, S. Whynot, E. Rebello, I. Savvina, K. Kusudo, M. Hernandez, V. Novikov, N. Lesteva, C. Tanaka, A. Tokorenko, A. Holmes, S. Singh, D. Gulaev, S. R. Desikan, A. L. Polenov, N. Rosenberg, S. Gosavi, A. Pikwer, A. Yanamandra, J. Akeson, B. Reddiyar, F. Shapiro, R. Saibaba, S. Lindgren, F. Radtke, V. Grunzig, I. Idov, K. Brandner, R. Urman, W. Brockhaus, P. Rylov, M. Franck, S. Gallagher, T. R. Polamarasetti, G. M. Rivas, B. Licata, M. D. Bianco, J. Kim, J. Stenglein, C. Farre, S. Merigliano, S. Candiotto, M. G. Orellana, J. Tan, G. Bledsoe, B. C. Frankenberger, T. K. Tan, X. Santiveri, J. Goh, N. Ghadiali, R. Terradas, B. Mrara, M. Lukhele, K. Sapire, M. D. Luz, L. Brannigan, S. R. Hofstetter, D. Cheng, F. Picaroni, J. Martin, T. Rahlfs, S. Barsoum, S. Miller, J. Ruiz, M. H. Harguindeguy, S. Bery, M. Fitzpatrick, E. Awad, A. Leites, A. Krishnamurthy, E. Leon-Ruiz, J. C. Bianco, K. Rando, R. Marenchino, D. Bracco, V. Cesareo, A. Domenech, D. Reddy, M. Fezza, M. R. Salem, M. Tichy, E. Bendova, J. Lastuvka, M.-P. Sharma, A. Harsten, A. Zeidan, T. Brouwer, C. Kalkman, C. A. F. Munoz, J. L. T. Rojas, H. Hjartarson, S. Al-Temyat, O. I. G. Bermudez, I. Dimitriadis, D. E. M. Rios, E. M. Escobar, P. Stefanidis, A. Siriussawakul, A. Nimmannit, S. Toksvig-Larsen, S. Rattana-arpa, M. A. Abdullah, S. Chatrattanakulchai, T. Mwumvaneza, P. Saengtawan, D.-T. Truong, K. Rampersad, A. Truong, J. Y. Chon, F. Carli, G. J. Crystal, E. Sung, D. Chen, K. Hae, M. Negron-Gonzalez, J. L. Dong, E. Moon, S. Hariharan, D. Zuker, S.-L. Lim, P.-F. Teoh, S. Cohen, S.-Y. Ong, S.-L. Toh, N. Noulas, J. Denny, C. K. Ng, D. Stansfield, E. Karkala, J. Mathew, S. K. Gautam, D. Maliamanis, D. Gupta, M. Prodromiti, U. Singh, K. Chandra Pant, S. Gandhi, A. Kouvalakidou, J. Sood, C. Hunter, B. Hari, R. Sehgal, J. Janco, N. Sethi, F. Rosinia,, V. Laphisetpun, J. Lefante,, S. Bent,, K. Wajanawichajirb, L. Freyder,, S. Russo,, N. Panagopoulos, S. Arunratanakul, H. Gunay, E. Basagan-Mogol, F. N. Kaya, G. Turker, R. Consuelo, B. Yavascaoglu, Y. Hoshino, M. Carlucci, P. Kusano, K. Matsumoto, Y. Castiglia, L. Carvalho, L. Braz, P. Kessler, Y. S. Shin, P. Elena, F. Kamali, D. Abtahi, B. Scheller, M. H. Farzan, A. Lorena, C. Byhahn, F. Gorbaran, D. G. Picasso, A. Francisco, L. F. Montoya-Pelaez, D. Alvarez, S. Kessler, C. Laura, A. Vina, D. Finkel, A. Agarwal, V. Lischke, M. P. Caparros, R. Verma, P. K. Singh, T. Verdu, A. B. Kabeza, M.-L. Kong, A. Srivastava, F. Murray, S. Chang, T. Twagirumugabe, T. Oshima, F. Lovisari, M. Signorelli, L. Ghislanzoni, J. Hirashima, E. Arisi, I. Walker, P. M. Ingelmo, S. Niveyro, S. Hattori, A. Ribo, C. Fuxman, F. Werhum, E. Bilesio, A. Kashiwai, G. Orce, I. shigemasa, L. Muntinga, A. A. V. Zundert, T. Nakamura, G. Valencia, J. Garcia-Cayuela, G. Canale, R. Barolo, G. A. Tajtelbaum, E. Iannoli, P. Gorosito, S. Uzunalioglu, C. Cowles, N. N. Garcia, A. J. Bernasconi, M. Anderson, U. Nimmagadda, A. V. Pantoja, E. Pivalizza, M. A. C. d. Resende, F. d. P. Araujo, S. Amornyotin, P. Daniljuk, G. A. T. Cunha, N. d. M. Junior, N. Trembach, A. Yildirim, M. Friedman, S. Kongphlay, B. Yavaccaoglu, N. N. Knezevic, R. Santos, C. Gomes, C. Oliveira, A. Agrelo, U. Kachintorn, F. Cerejo, C. Gomez, W. Chalayonnawin, C. I. D. Cruzado, Y. Arzani, I. Xarikopoulos, J. Ochoa, A. Bertolotti, T. Mpourtzinakos, M. I. M. Lean, D. Absi, O. Mendiz, A. M. R. Medina, K. S. Olsen, G. Lev, C. Fava, L. Valdivieso, P. J. Toppin, L. Rovsing, J. Negroni, J. A. C. Espana, ;as C. Vargas, J. Olivares, R. Favaloro, O. D. A. Ospina, G. Djaiani, N. A. Pedersen, K. Taamallah, H. Gharsallah, K. Abdellatif, A. Snyman, J. T. Petersen, I. Naas, I. Labbene, J. C. G. Salgado, C. Fernandes, S. Combiatore, K. Escher, D. Castro, M. Pacheco, L. Gomes, L. M. G. Buitrago, C. Lee, P. A. F. Somboon, D. Fontes, F. M. F. de Sa, C. M. Simoes, D. J. Um, T. Pulsuk, E. D. Silva, F. M. Benevides, F. C. Salman, J. Weller, J. T. Park, S. R. Abidi, H. K. Lim, F. Farinha, W. Sriraj, F. Barros, J. Torrie, S. Pyati, S. G. Kim, R. Henderson, G. Locks, K. Jang, E. Copuroglu, M. Ceccon, P. Morgan
  • British Journal of Anaesthesia, March 2012, Oxford University Press (OUP)
  • DOI: 10.1093/bja/aer487

Anesthesia for enteroscopy procedure in a world gastroenterology organizing training center

What is it about?

Enteroscopy procedure is another diagnosis and treatment option for gastrointestinal tract abnormalities especially for small bowel pathologies. The objective of the study is to study and review anesthetic data from a World Gastroenterology Organizing Training Center in Thailand as a basis for further research.

Why is it important?

There were 145 patients who received the procedure during study period. The age group of 50-69 years was the highest on (46.9%). Most patients had ASA class II (57.2%). The indications of procedure were gastrointestinal bleeding (58.6%), chronic diarrhea (15.2%), protein losing enteropathy (2.1%) and others (24.1%). Hematologic disease, cardiovascular disease and hypertension were the most common pre-anesthetic problems. General anesthesia and intravenous sedation was the anesthetic technique mainly employed. Anesthetic agents were mainly administered with propofol, midazolam and fentanyl. The mean anesthetic time was 92.8 +/- 48.4 minutes. Single balloon and oral intubation was the most common type and route of enteroscopy. The most frequent anesthetic complication was hypotension.

Perspectives

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

During anesthetic management for enteroscopy procedure, special techniques or drugs in anesthesia are not routinely required, however, the anesthetic personnel had to optimize the patient's condition for safety and there should be an awareness of complications.

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http://dx.doi.org/10.1093/bja/aer487

The following have contributed to this page: Somchai Amornyotin