Authors:
,
,
, and
Eszter Szegô
Eszter Szegô
Department of Anesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary
Search for other papers by Eszter Szegô in
Current site
Google Scholar
PubMed
Search for other papers by Eszter Szegô in
Current site
Google Scholar
PubMed
Zsolt Iványi
Zsolt Iványi
Department of Anesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary
Search for other papers by Zsolt Iványi in
Current site
Google Scholar
PubMed
Search for other papers by Zsolt Iványi in
Current site
Google Scholar
PubMed
András László
András László
3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary
Search for other papers by András László in
Current site
Google Scholar
PubMed
Search for other papers by András László in
Current site
Google Scholar
PubMed
János Gál
János Gál
Department of Anesthesiology and Intensive Therapy, Semmelweis University, Budapest, Hungary
Search for other papers by János Gál in
Current site
Google Scholar
PubMed
Search for other papers by János Gál in
Current site
Google Scholar
PubMed
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.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1. D.A. Elphick et al.2009 Factors associated with abdominal discomfort during colonoscopy: a prospective analysis Eur J Gastroenterol Hepatol 21 1076 1082.
-
2. J.S. Baudet et al.2009 Use of sedation in gastrointestinal endoscopy: a nationwide survey in Spain Eur J Gastroenterol Hepatol 21 882 888.
-
3. J.S. Baudet et al.2009 Minor adverse events of colonoscopy on ambulatory patients: the impact of moderate sedation Eur J Gastroenterol Hepatol 21 656 661.
-
4. S. Sarkar et al.2009 Safer sedation practice may not translate into improvements in endoscopic outcomes Eur J Gastroenterol Hepatol 21 534 543.
-
5. J. Metzner et al.2010 Risks of anesthesia or sedation outside the operating room: the role of the anesthesia care provider Curr Opin Anaesthesiol 23 523 531.
-
6. K.R. McQuaid et al.2008 A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures Gastrointest Endosc 67 910 923.
-
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.
-
8. J.E. Mandel et al.2008 A randomized, controlled, double-blind trial of patient-controlled sedation with propofol/remifentanil versus midazolam/fentanyl for colonoscopy Anesth Analg 106 434 439.
-
9. U. Padmanabhan et al.2009 Early cognitive impairment after sedation for colonoscopy: the effect of adding midazolam and/or fentanyl to propofol Anesth Analg 109 1448 1455.
-
10. M. Luginbühl et al.2009 Anesthesia or sedation for gastroenterologic endoscopies Curr Opin Anaesthesiol 22 524 531.
| 2019 | |
|---|---|
| Scimago H-index |
11 |
| Scimago Journal Rank |
0,220 |
| Scimago Quartile Score |
Medicine (miscellaneous) Q3 |
| Scopus Cite Score |
155/133=1,2 |
| Scopus Cite Score Rank |
General Medicine 199/529 (Q2) |
| Scopus SNIP |
0,343 |
| Scopus Cites |
206 |
| Scopus Documents |
23 |
| Interventional Medicine and Applied Science | |
|---|---|
| Language | English |
| Size | |
| Year of Foundation |
2009 |
| Publication Programme |
changed title |
| Volumes per Year |
|
| Issues per Year |
|
| Founder | Akadémiai Kiadó |
| Founder's Address |
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245. |
| Publisher | Akadémiai Kiadó |
| Publisher's Address |
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245. |
| Responsible Publisher |
Chief Executive Officer, Akadémiai Kiadó |
| ISSN | 2061-1617 (Print) |
| ISSN | 2061-5094 (Online) |
Monthly Content Usage
| Abstract Views | Full Text Views | PDF Downloads | |
|---|---|---|---|
| Jun 2023 | 1 | 0 | 0 |
| Jul 2023 | 1 | 0 | 0 |
| Aug 2023 | 4 | 0 | 0 |
| Sep 2023 | 1 | 0 | 0 |
| Oct 2023 | 5 | 2 | 0 |
| Nov 2023 | 8 | 2 | 0 |
| Dec 2023 | 1 | 0 | 0 |
Authors:
, , , , , and
Author:
Copyright Akadémiai Kiadó AKJournals is the trademark of Akadémiai Kiadó's journal publishing business branch.
Powered by PubFactory