Gastrointestinal endoscopy
-
Gastrointest. Endosc. · Dec 2002
Randomized Controlled Trial Clinical TrialElectroencephalogram monitoring facilitates sedation with propofol for routine ERCP: a randomized, controlled trial.
Endoscopy with the patient under sedation with propofol requires careful monitoring of patient consciousness and vital signs to achieve the desired hypnotic effect without overdosage. Because level of consciousness is difficult to judge by clinical observation alone, electroencephalogram monitoring has been used to guide general anesthesia. ⋯ Electroencephalogram monitoring enables more effective titration of propofol dosage for sedation during endoscopy and is, therefore, associated with faster patient recovery.
-
Gastrointest. Endosc. · Dec 2002
Randomized Controlled Trial Comparative Study Clinical TrialEndoscopic placement of nasojejunal tubes: a randomized, controlled, prospective trial comparing suitability and technical success for two different tubes.
Jejunal feeding is an attractive means for delivering nutrients to critically ill patients. Nasojejunal tubes may have different advantages and disadvantages that may have important clinical implications. ⋯ Selection of a nasojejunal tube for endoscopic placement has significant implications with respect to time required for placement, duration of tube usage and the practicability for nursing staff. Diagnostic upper endoscopy performed concomitantly often reveals findings of clinical importance.
-
Gastrointest. Endosc. · Nov 2002
Randomized Controlled Trial Comparative Study Clinical TrialPatient-controlled sedation versus intravenous sedation for colonoscopy in elderly patients: a prospective randomized controlled trial.
A prospective randomized trial was conducted to compare the safety, effectiveness, and patient acceptance of patient-controlled sedation and intravenous sedation for colonoscopy in a group of elderly patients undergoing outpatient colonoscopy. ⋯ Patient-controlled sedation appears to be safer than intravenous sedation, with comparable effectiveness and acceptance, in elderly patients undergoing elective outpatient colonoscopy.
-
Gastrointest. Endosc. · Aug 2002
Randomized Controlled Trial Clinical TrialErythromycin improves the quality of EGD in patients with acute upper GI bleeding: a randomized controlled study.
The diagnostic and therapeutic value of EGD in patients with upper GI bleeding is often limited by the presence of residual blood or clots. When infused before EGD, erythromycin, a potent gastrokinetic drug, might improve the quality of EGD in patients with upper GI bleeding. The aim of this study was to assess the effect of erythromycin on the quality of the EGD in patients with acute upper GI bleeding. ⋯ In patients with acute upper GI bleeding, infusion of erythromycin before endoscopy significantly improved the quality of EGD and tended to reduce the need for second-look endoscopy.
-
Gastrointest. Endosc. · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialPropofol versus midazolam/meperidine for outpatient colonoscopy: administration by nurses supervised by endoscopists.
Propofol is under evaluation as a sedative for endoscopic procedures. ⋯ For outpatient colonoscopy, propofol administered by nurses and supervised by endoscopists has several advantages over midazolam plus meperidine and deserves additional investigation.