Gastrointestinal endoscopy
-
Gastrointest. Endosc. · Sep 2000
Randomized Controlled Trial Comparative Study Clinical TrialRoutine droperidol pre-medication improves sedation for ERCP.
Pre-medication with droperidol has been used to improve sedation during endoscopy, especially in patients with a history of alcohol or narcotic abuse. We studied whether routine use of droperidol pre-endoscopic retrograde cholangiopancreatography (ERCP) could improve patient and physician satisfaction with sedation. ⋯ Droperidol improved overall patient, physician, and nurse satisfaction with sedation during ERCP. It also reduced post-ERCP nausea and vomiting without increasing recovery time or medication cost. Droperidol is recommended for routine pre-ERCP sedation. (Gastrointest Endosc 2000;52:362-6).
-
Gastrointest. Endosc. · Jul 2000
Randomized Controlled Trial Comparative Study Clinical TrialConscious sedation and cardiorespiratory safety during colonoscopy.
Cardiorespiratory events during colonoscopy are common. The effect of sedative premedication on cardiorespiratory parameters during colonoscopy has not been studied in controlled, prospective trials. ⋯ Premedication with midazolam induced a statistically significant decrease in arterial oxygen saturation and increased the risk for hypotension. However, colonoscopy proved to be a safe procedure both with and without sedation.
-
Gastrointest. Endosc. · May 2000
Randomized Controlled Trial Comparative Study Clinical TrialA randomized, double-blind study of the use of droperidol for conscious sedation during therapeutic endoscopy in difficult to sedate patients.
Droperidol has been used in combination with narcotics and benzodiazepines to achieve conscious sedation. We performed a randomized, double-blind, study of droperidol in patients at risk for difficult sedation scheduled for therapeutic endoscopy. ⋯ Droperidol is a useful adjunct to conscious sedation in patients who are difficult to sedate. Its use results in significantly fewer interruptions due to poor sedation and improved sedation ratings compared with sedation using midazolam and meperidine alone.
-
Gastrointest. Endosc. · Mar 2000
Randomized Controlled Trial Clinical TrialA cost and performance evaluation of disposable and reusable biopsy forceps in GI endoscopy.
Biopsy forceps are widely used in gastrointestinal endoscopy, and yet few data exist on the usage and costs associated with disposable versus reusable forceps. ⋯ Up to 15 to 20 uses, disposable and reusable forceps costs were similar. If reusable forceps are used more than 20 times, then they are less expensive. However, in this range of uses, reusable biopsy forceps performance diminishes. With disposable biopsy forceps costing less than $40, cost differences between reusable and disposable forceps are minimal.
-
Gastrointest. Endosc. · Mar 2000
Randomized Controlled Trial Clinical TrialPatient-controlled analgesia for conscious sedation during colonoscopy: a randomized controlled study.
The aim of this study was to assess whether patient-controlled anesthesia (PCA) can improve patient tolerance for colonoscopy. We compared baseline sedation and analgesia with baseline sedation and PCA. ⋯ Our results suggest that patient-controlled analgesia during colonoscopy is as effective as standard sedation with respect to patient tolerance and safety of the examination.