Age-dependent safety analysis of propofol-based deep sedation for ERCP and EUS procedures at an endoscopy training center in a developing country (Downloadable archival material, 2012) [WorldCat.org]
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Age-dependent safety analysis of propofol-based deep sedation for ERCP and EUS procedures at an endoscopy training center in a developing country

Author: Amornyotin,Somchai; Leelakusolvong,Somchai; Chalayonnawin,Wiyada; Kongphlay,Siriporn
Publisher: Dove Press 2012-07-09
Edition/Format:   Downloadable archival material : English
Summary:
Somchai Amornyotin,1,2 Somchai Leelakusolvong,2,3 Wiyada Chalayonnawin,1,2 Siriporn Kongphlay1,21Department of Anesthesiology, 2Siriraj GI Endoscopy Center, 3Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandIntroduction: Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS) procedures in elderly patients are on the rise, and they  Read more...
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Genre/Form: Short Report
info:eu-repo/semantics/article
Document Type: Archival Material
All Authors / Contributors: Amornyotin,Somchai; Leelakusolvong,Somchai; Chalayonnawin,Wiyada; Kongphlay,Siriporn
OCLC Number: 953562008
Language Note: English
Notes: text/html

Abstract:

Somchai Amornyotin,1,2 Somchai Leelakusolvong,2,3 Wiyada Chalayonnawin,1,2 Siriporn Kongphlay1,21Department of Anesthesiology, 2Siriraj GI Endoscopy Center, 3Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, ThailandIntroduction: Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS) procedures in elderly patients are on the rise, and they play an important role in the diagnosis and management of various gastrointestinal diseases. The use of deep sedation in these patients has been established as a safe and effective technique in Western countries; however, it is uncertain if the situation holds true among Asians. The present study aimed to evaluate the age-dependent safety analysis and clinical efficacy of propofol-based deep sedation (PBDS) for ERCP and EUS procedures in adult patients at a World Gastroenterology Organization (WGO) Endoscopy Training Center in Thailand.Methods: We undertook a retrospective review of anesthesia or sedation service records of patients who underwent ERCP and EUS procedures. All procedures were performed by staff endoscopists, and all sedations were administered by anesthesia personnel in the endoscopy room.Results: PBDS was provided for 491 ERCP and EUS procedures. Of these, 252 patients (mean age, 45.1 ± 11.1 years, range 17–65 years) were in the <65 age group, 209 patients (mean age, 71.7 ± 4.3 years, range 65–80 years) were in the 65–80 year-old group, and 30 patients (mean age, 84.6 ± 4.2 years, range 81–97 years) were in the >80 age group. Common indications for the procedures were pancreatic tumor, cholelithiasis, and gastric tumor. Fentanyl, propofol, and midazolam were the most common sedative drugs used in all three groups. The mean doses of propofol and midazolam in the very old patients were relatively lower than in the other groups. The combination of propofol

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Safety analysis of propofol-based deep sedation for ERCP and EUS

by somchai.amo (WorldCat user published about 3 weeks ago) Excellent Permalink

Herein, the authors report the age-dependent safety analysis and clinical experience of PBDS for ERCP and EUS procedures in adult patients at a WGO Endoscopy Training Center in Thailand. The findings of the present study also showed that adverse cardiovascular events in elderly patients are common....
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