Evaluation of complications during and after conscious sedation for endoscopy using pulse oximetry
All events prolonging an endoscopic procedure or recovery, or requiring a medication or an intervention, were analyzed from a consecutive sample of 508 patients receiving conscious sedation. Although 102 events were identified (20%), 33 of these (7%) were major. These included four episodes of apnea...
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| Veröffentlicht in: | Gastrointestinal endoscopy 1993, Vol.39 (5), p.620-625 |
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| container_title | Gastrointestinal endoscopy |
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| creator | Iber, Frank L. Sutberry, Marie Rajan Gupta, R.N. Kruss, Dan |
| description | All events prolonging an endoscopic procedure or recovery, or requiring a medication or an intervention, were analyzed from a consecutive sample of 508 patients receiving conscious sedation. Although 102 events were identified (20%), 33 of these (7%) were major. These included four episodes of apnea and four patients with a prompt and sustained fall in oxygenation during the procedure; 19 additional patients had a decrease to less than 89% in oxygen saturation in the 30 minutes after the completion of the procedure. The patients with observed events had significantly more major illnesses, a higher fraction older than 70 years, and a higher fraction of endoscopic retrograde cholangiopancreatography than those without events (
p < 0.05) but had a similar dose of sedative medications, mean age, and fraction of colonoscopies. |
| doi_str_mv | 10.1016/S0016-5107(93)70211-4 |
| format | Article |
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p < 0.05) but had a similar dose of sedative medications, mean age, and fraction of colonoscopies.</description><subject>Age Factors</subject><subject>Aged</subject><subject>Apnea - diagnosis</subject><subject>Apnea - epidemiology</subject><subject>Apnea - etiology</subject><subject>Biological and medical sciences</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Colonoscopy - adverse effects</subject><subject>Conscious Sedation</subject><subject>Endoscopy</subject><subject>Endoscopy, Digestive System - adverse effects</subject><subject>Humans</subject><subject>Hypoventilation - diagnosis</subject><subject>Hypoventilation - epidemiology</subject><subject>Hypoventilation - etiology</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Meperidine - therapeutic use</subject><subject>Midazolam - therapeutic use</subject><subject>Miscellaneous. 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Technology</topic><topic>Monitoring, Physiologic - methods</topic><topic>Oximetry</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Iber, Frank L.</creatorcontrib><creatorcontrib>Sutberry, Marie</creatorcontrib><creatorcontrib>Rajan Gupta, R.N.</creatorcontrib><creatorcontrib>Kruss, Dan</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Iber, Frank L.</au><au>Sutberry, Marie</au><au>Rajan Gupta, R.N.</au><au>Kruss, Dan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of complications during and after conscious sedation for endoscopy using pulse oximetry</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>1993</date><risdate>1993</risdate><volume>39</volume><issue>5</issue><spage>620</spage><epage>625</epage><pages>620-625</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><coden>GAENBQ</coden><abstract>All events prolonging an endoscopic procedure or recovery, or requiring a medication or an intervention, were analyzed from a consecutive sample of 508 patients receiving conscious sedation. Although 102 events were identified (20%), 33 of these (7%) were major. These included four episodes of apnea and four patients with a prompt and sustained fall in oxygenation during the procedure; 19 additional patients had a decrease to less than 89% in oxygen saturation in the 30 minutes after the completion of the procedure. The patients with observed events had significantly more major illnesses, a higher fraction older than 70 years, and a higher fraction of endoscopic retrograde cholangiopancreatography than those without events (
p < 0.05) but had a similar dose of sedative medications, mean age, and fraction of colonoscopies.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>8224681</pmid><doi>10.1016/S0016-5107(93)70211-4</doi><tpages>6</tpages></addata></record> |
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| ispartof | Gastrointestinal endoscopy, 1993, Vol.39 (5), p.620-625 |
| issn | 0016-5107 1097-6779 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Age Factors Aged Apnea - diagnosis Apnea - epidemiology Apnea - etiology Biological and medical sciences Cholangiopancreatography, Endoscopic Retrograde Colonoscopy - adverse effects Conscious Sedation Endoscopy Endoscopy, Digestive System - adverse effects Humans Hypoventilation - diagnosis Hypoventilation - epidemiology Hypoventilation - etiology Investigative techniques, diagnostic techniques (general aspects) Medical sciences Meperidine - therapeutic use Midazolam - therapeutic use Miscellaneous. Technology Monitoring, Physiologic - methods Oximetry Risk Factors |
| title | Evaluation of complications during and after conscious sedation for endoscopy using pulse oximetry |
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