What is it about?
Esophagogastroduodenoscopy (EGD) is safely performed by using topical pharyngeal anesthesia in elderly patients. However, it can induce hemodynamic changes and adverse events. The aim of this study was to compare and evaluate the anesthesia-related adverse event rate and the alteration of blood pressure and heart rate in unsedated EGD procedure between elderly patients and younger patients.
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Why is it important?
After matching gender, weight, ASA physical status and indications of procedure, there were 342 patients in group A and 195 patients in group B. All endoscopies were completely successfully. There were no significant differences in gender, weight, ASA physical status, duration of procedure, indication of endoscopy, hemodynamic parameters, and the anesthesia-related adverse events between the two groups. All adverse events were mild degree, transient and did not require medications.
Perspectives
Anesthesia-related adverse event rate and alterations of blood pressure and heart rate during and immediately after unsedated EGD procedure in the elderly patients are relatively high. However, all of these are mild, transient and did not greater than in the younger patients.
Professor Somchai Amornyotin
Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University
Read the Original
This page is a summary of: Anesthesia-Related Adverse Event Rate and Alteration of Blood Pressure and Heart Rate During and Immediately after Unsedated Esophagogastroduodenoscopy in Elderly Patients, Journal of Gastroenterology and Hepatology Research, January 2015, ACT Publishing Group,
DOI: 10.17554/j.issn.2224-3992.2015.04.503.
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