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  • 1 Department of Anesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary
  • 2 3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary
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Abstract

Introduction

Colonoscopy is a standard diagnostic tool for the investigation and surveillance of diseases affecting the colon. The procedure can be uncomfortable and sometimes very painful, resulting in increased cecal intubation time and lower completion rate. However, it seems to be apparent that anesthesia for this procedure increases patient satisfaction; data are lacking about the impact of anesthesia on the technical performance of colonoscopic examination.

Aim

In our observational survey, we studied patients undergoing colonoscopy with or without anesthesia. We compared patient satisfaction, difficulties in endoscopy, and the impact of anesthesia on the examination room occupancy.

Methods

We enrolled 60 patients undergoing elective, outpatient colonoscopy because of various reasons. The patients were able to choose between anesthesia and sedation. Difficulties in colonoscopy were evaluated by the endoscopist's rating and by the time to cecal intubation. We assessed patient satisfaction by a numeric rating scale.

Results

We observed that neither the duration of colonoscopy nor the time spent in the examination room was different in the two groups (p 0.825, 0.998). There was a significant improvement in both patient and endoscopist satisfaction scores in patients undergoing anesthesia (p 0.0007).

Conclusion

We found that during colonoscopy, compared to sedation, anesthesia increases both endoscopist and patient satisfaction without prolonged occupation of the examination room.

  • 1. D.A. Elphick 2009 Factors associated with abdominal discomfort during colonoscopy: a prospective analysis Eur J Gastroenterol Hepatol 21 1076 1082.

    • Search Google Scholar
    • Export Citation
  • 2. J.S. Baudet 2009 Use of sedation in gastrointestinal endoscopy: a nationwide survey in Spain Eur J Gastroenterol Hepatol 21 882 888.

    • Search Google Scholar
    • Export Citation
  • 3. J.S. Baudet 2009 Minor adverse events of colonoscopy on ambulatory patients: the impact of moderate sedation Eur J Gastroenterol Hepatol 21 656 661.

    • Search Google Scholar
    • Export Citation
  • 4. S. Sarkar 2009 Safer sedation practice may not translate into improvements in endoscopic outcomes Eur J Gastroenterol Hepatol 21 534 543.

    • Search Google Scholar
    • Export Citation
  • 5. J. Metzner 2010 Risks of anesthesia or sedation outside the operating room: the role of the anesthesia care provider Curr Opin Anaesthesiol 23 523 531.

    • Search Google Scholar
    • Export Citation
  • 6. K.R. McQuaid 2008 A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures Gastrointest Endosc 67 910 923.

    • Search Google Scholar
    • Export Citation
  • 7. National standard for sedation for diagnostic and therapeutic interventions: Az Egészségügyi Minisztérium szakmai protokollja Szedálás az eszközös diagnosztikus és terápiás beavatkozásokhoz http://www.eum.hu/egeszsegpolitika/minosegfejlesztes/aneszteziologia.

    • Search Google Scholar
    • Export Citation
  • 8. J.E. Mandel 2008 A randomized, controlled, double-blind trial of patient-controlled sedation with propofol/remifentanil versus midazolam/fentanyl for colonoscopy Anesth Analg 106 434 439.

    • Search Google Scholar
    • Export Citation
  • 9. U. Padmanabhan 2009 Early cognitive impairment after sedation for colonoscopy: the effect of adding midazolam and/or fentanyl to propofol Anesth Analg 109 1448 1455.

    • Search Google Scholar
    • Export Citation
  • 10. M. Luginbühl 2009 Anesthesia or sedation for gastroenterologic endoscopies Curr Opin Anaesthesiol 22 524 531.

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