What is it about?
The aim of the study is to compare and evaluate the clinical efficacy of propofol deep sedation (PDS) for small bowel enteroscopy (SBE) procedure in elderly patients in a teaching hospital in Thailand.
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Why is it important?
116 patients underwent SBE procedures by using PDS technique. Premedications were none before the procedure. After matching gender, weight, ASA physical status and indications of procedures, there were 45 patients in group 1 and 28 patients in group 2. There were no significant differences in gender, weight, height, ASA physical status and indications of procedures among the two groups. All procedures were successful completion but one in group 1. Mean dose of propofol, fentanyl and midazolam in both groups was comparable. There were no significant differences in the complication rate, mortality rate and haemodynamic parameters between the two groups.
Perspectives
In the setting of developing country, PDS for SBE procedure in elderly patients by experienced anaesthesiologist with appropriate monitoring were relatively safe and effective. Sedation-related complications in elderly patients are relatively higher than in the younger patients, but not significantly different.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Read the Original
This page is a summary of: PWE-131 Propofol deep sedation for small bowel enteroscopy in elderly patients in a world gastroenterology organising endoscopy training center in Thailand, Gut, May 2012, BMJ,
DOI: 10.1136/gutjnl-2012-302514d.131.
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