Incidence of sedation-related adverse events during ERCP with anesthesia assistance: a multicenter observational study

Anesthesia assistance is commonly used for ERCP. General anesthesia (GA) may provide greater airway protection but may lead to hypotension. We aimed to compare GA versus sedation without planned intubation (SWPI) on the incidence of hypoxemia and hypotension. We also explored risk factors for conver...

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Veröffentlicht in:Gastrointestinal endoscopy 2022-08, Vol.96 (2), p.269-281.e1
Hauptverfasser: Cummings, Linda C., Liang, Chen, Mascha, Edward J., Saager, Leif, Smith, Zachary L., Bhavani, Sekar, Vargo, John J., Cummings, Kenneth C.
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Sprache:eng
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Zusammenfassung:Anesthesia assistance is commonly used for ERCP. General anesthesia (GA) may provide greater airway protection but may lead to hypotension. We aimed to compare GA versus sedation without planned intubation (SWPI) on the incidence of hypoxemia and hypotension. We also explored risk factors for conversion from SWPI to GA. This observational study used data from the Multicenter Perioperative Outcomes Group. Adults with American Society of Anesthesiologists physical status class I to IV undergoing ERCP between 2006 and 2019 were included. We compared GA and SWPI on incidence of hypoxemia (oxygen saturation 
ISSN:0016-5107
1097-6779
DOI:10.1016/j.gie.2022.03.023