EPAGE Study Group. Current sedation and monitoring practice for colonoscopy: an international observational study (EPAGE)

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Froehlich, F (författare)

EPAGE Study Group. Current sedation and monitoring practice for colonoscopy: an international observational study (EPAGE)

Artikel/kapitelEngelska2006

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Georg Thieme Verlag KG,2006

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LIBRIS-ID:oai:lup.lub.lu.se:7a60e6b9-973f-4bf4-af33-84d36b62d70e
https://lup.lub.lu.se/record/1136597URI
https://doi.org/10.1055/s-2006-925368DOI

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Språk:engelska
Sammanfattning på:engelska

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Background and Study Aims: Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internationally. Patients and Methods: This observational study included consecutive patients referred for colonoscopy at 21 centers in 11 countries. Endoscopists reported sedation and monitoring practice, using a standard questionnaire for each patient. Results: 6004 patients were included in this study, of whom 53 % received conscious/moderate sedation during colonoscopy, 30 % received deep sedation, and 17 % received no sedation. Sedation agents most commonly used were midazolam (47 %) and opioids (33 %). Pulse oximetry was done during colonoscopy in 77 % of patients, blood pressure monitoring in 34 %, and electrocardiography in 24 %. Pulse oximetry was most commonly used for moderately sedated patients, while blood pressure monitoring and electrocardiography were used predominantly for deeply sedated patients. Sedation and monitoring use ranged from 0 % to 100 % between centers. Oxygen desaturation (≤ 85 %) occurred in 5 % of patients, of whom 80 % were moderately sedated. On average, three staff members were involved in procedures. An anesthesiologist was present during 27 % of colonoscopies, and during 85 % of colonoscopies using deep sedation. Conclusions: Internationally, sedation and monitoring practice during colonoscopy varied widely. Moderate sedation was the most common sedation method used and electronic monitoring was used in three-quarters of patients. Deep sedation tended to be more resource-intensive, implying a greater use of staff and monitoring.

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Harris, J K (författare)
Wietlisbach, V (författare)
Burnand, B (författare)
Vader, J-P (författare)
Gonvers, J-J (författare)
EPAGE Study Group, The (författare)
Fork, ThomasLund University,Lunds universitet,Diagnostisk radiologi, Malmö,Forskargrupper vid Lunds universitet,Radiology Diagnostics, Malmö,Lund University Research Groups(Swepub:lu)th0067fo (författare)
Benoni, CeciliaLund University,Lunds universitet,Enheten för kroniska inflammatoriska och degenerativa sjukdomar,Forskargrupper vid Lunds universitet,Chronic Inflammatory and Degenerative Diseases Research Unit,Lund University Research Groups(Swepub:lu)medf-cbe (författare)
al, et (författare)
Diagnostisk radiologi, MalmöForskargrupper vid Lunds universitet (creator_code:org_t)

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Ingår i:Endoscopy: Georg Thieme Verlag KG38:5, s. 461-4691438-88120013-726X

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Av författaren/redakt...: Froehlich, F; Harris, J K; Wietlisbach, V; Burnand, B; Vader, J-P; Gonvers, J-J; visa fler...; EPAGE Study Grou ...; Fork, Thomas; Benoni, Cecilia; al, et; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Radiologi och bi ...

Artiklar i publikationen: Endoscopy

Av lärosätet: Lunds universitet

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