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propofol pediatric endoscopy

Ishak A Isik, Leyla Iyilikçi, Yesim Ozturk, Esma Adiyaman
Medical records of the 575 children who underwent gastrointestinal endoscopy outside the operating room were investigated retrospectively. The most frequently used combinations were propofol-midazolam-fentanyl in 83.2% of the procedures and propofol-midazolam in 13.8% of the procedures. 24 (3.4%) of 703 procedures had complications due to sedation anesthesia; 11 had hypoxia and 8 had pain in the injection area. Sedation anesthesia practice provided by an anesthesiologist outside the operating room enables gastrointestional endoscopic procedures to be carried out more safely...
November 2015: Indian Pediatrics
Rok Orel, Jernej Brecelj, Jorge Amil Dias, Claudio Romano, Fernanda Barros, Mike Thomson, Yvan Vandenplas
AIM: To present evidence and formulate recommendations for sedation in pediatric gastrointestinal (GI) endoscopy by non-anesthesiologists. METHODS: The databases MEDLINE, Cochrane and EMBASE were searched for the following keywords "endoscopy, GI", "endoscopy, digestive system" AND "sedation", "conscious sedation", "moderate sedation", "deep sedation" and "hypnotics and sedatives" for publications in English restricted to the pediatric age. We searched additional information published between January 2011 and January 2014...
July 25, 2015: World Journal of Gastrointestinal Endoscopy
Barath Jagadisan
BACKGROUND: Sedation practices for pediatric gastrointestinal endoscopic procedures (PGEP) vary based on infrastructure, availability of trained personnel, and local protocols. Data on prevalent sedation practices is lacking from India. This study aimed to survey the sedation practices for PGEP in India. METHODS: A mailing list was constituted with the e-mail addresses of the members of the Indian Society of Pediatric Gastroenterology, Hepatology and Nutrition, Indian Academy of Pediatrics, Association of Surgeons of India, Indian Association of Pediatric Surgeons, and Indian Society of Gastroenterology...
March 2015: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
Mamoru Kadosaki
There is an increasing demand for anesthesiologists to work outside the operating room in order to provide general anesthesia or monitored sedation for a variety of medical investigations or procedures in infants and children. The concept that treatment should be a pain- and stress-free experience is now well accepted, and this has placed additional responsibilities on anesthesiologists. We describe pediatric anesthesia and monitored sedation for diagnostic medical procedures. Children requiring a painful procedure and prolonged examination should be provided with optimal sedation and analgesia...
August 2014: Rinsho Byori. the Japanese Journal of Clinical Pathology
Jamal Garah, Orly Eshach Adiv, Irit Rosen, Ron Shaoul
The Integrated Pulmonary Index (IPI) is an algorithm included in commercially available monitors that constitutes a representation of 4 parameters: EtCO2, RR, SpO2 and PR. The IPI index has been validated for adults and children older than 1 year of age. In this study we aimed to study the value of IPI monitoring during pediatric endoscopic procedures. Our data consisted of 124 measurements of 109 patients undergoing different procedures (upper endoscopy 84 patients, colonoscopy 6 patients, both 9 patients)...
December 2015: Journal of Clinical Monitoring and Computing
Joshua H Atkins, Jeff E Mandel, Giulia Rosanova
BACKGROUND: Drug-induced sleep endoscopy (DISE) uses sedative-hypnotics to induce moderate obstruction in sleep apnea patients, thereby facilitating anatomic assessment of obstructive physiology. Implementation of DISE with propofol requires a dosing strategy that reliably and efficiently produces obstruction while minimizing oxygen desaturation. METHODS: The surgeon in a prospective study of transoral robotic resection of the tongue base enrolled 97 patients with obstructive sleep apnea confirmed by polysomnography who failed continuous positive airway pressure...
October 2014: Anesthesia and Analgesia
F J Alados-Arboledas, M P Millán-Bueno, J F Expósito-Montes, A Arévalo-Garrido, A Pérez-Parras, J de la Cruz-Moreno
OBJECTIVE: The bispectral index (BIS) values that predict appropriate anesthetic level to perform an upper gastrointestinal endoscopy in spontaneous breathing are not well established in Pediatrics. The objective of this study is to determine whether it is possible to find an appropriate, less profound, BIS level in the pediatric patient that would enable an upper gastrointestinal endoscopy (UGE) to be performed in spontaneous breathing without causing gag reflex or motor response. MATERIAL AND METHOD: A prospective study was designed and included 61 patients from 12-167 months old, and an ASAI-II who needed a diagnostic UGE...
March 2015: Revista Española de Anestesiología y Reanimación
Surender Rajasekaran, Richard M Hackbarth, Alan T Davis, John S Kopec, Deborah L Cloney, Robert K Fitzgerald, Nabil E Hassan, Akunne N Ndika, Kathleen Cornelius, Allison McCullough, Dominic Sanfilippo
OBJECTIVES: To evaluate the safety of deep sedation provided by pediatric intensivists for elective nonintubated esophagogastroduodenoscopy. DESIGN: Retrospective observational study. SETTING: The sedation program at the Helen DeVos Children's Hospital. PATIENTS: A 4-year retrospective analysis was done on all outpatient elective pediatric esophagogastroduodenoscopy procedures performed in an intensivist run sedation program...
July 2014: Pediatric Critical Care Medicine
Christopher T Wootten, Sivakumar Chinnadurai, Steven L Goudy
OBJECTIVES: In this study we determine the subjective and objective outcomes of pediatric patients with refractory OSA undergoing drug-induced sleep endoscopy (DISE)-directed surgical treatment. METHODS: 31 consecutive children with OSA following TA underwent DISE. 26 completed DISE-directed operative management of the level(s) of ongoing upper airway obstruction. Pre- and postoperative OSA were assessed through a detailed history (of nighttime symptoms (NS) and daytime symptoms (DS)), physical examination, and polysomnography...
July 2014: International Journal of Pediatric Otorhinolaryngology
Antonio Chiaretti, Franca Benini, Filomena Pierri, Katy Vecchiato, Luca Ronfani, Caterina Agosto, Alessandro Ventura, Orazio Genovese, Egidio Barbi
AIM: The aim of this study was to determine the safety and the efficacy of paediatrician-administered propofol in children undergoing different painful procedures. METHODS: We conducted a retrospective study over a 12-year period in three Italian hospitals. A specific training protocol was developed in each institution to train paediatricians administering propofol for painful procedures. RESULTS: In this study, 36,516 procedural sedations were performed...
February 2014: Acta Paediatrica
Ji Eun Oh, Hae Jeong Lee, Young Hwan Lee
BACKGROUND/AIMS: To evaluate the efficacy and safety of propofol and midazolam for sedation during esophagogastroduodenoscopy (EGD) in children. METHODS: We retrospectively reviewed the hospital records of 62 children who underwent ambulatory diagnostic EGD during 1-year period. Data were collected from 34 consecutive patients receiving propofol alone. Twenty-eight consecutive patients who received sedation with midazolam served as a comparison group. Outcome variables were length of procedure, time to recovery and need for additional supportive measures...
July 2013: Clinical Endoscopy
Kwang Hyun Ko, Ki Baik Hahm
No abstract text is available yet for this article.
July 2013: Clinical Endoscopy
Nicholas West, Guy A Dumont, Klaske van Heusden, Christian L Petersen, Sara Khosravi, Kristian Soltesz, Aryannah Umedaly, Eleanor Reimer, J Mark Ansermino
BACKGROUND: During closed-loop control, a drug infusion is continually adjusted according to a measure of clinical effect (e.g., an electroencephalographic depth of hypnosis (DoH) index). Inconsistency in population-derived pediatric pharmacokinetic/pharmacodynamic models and the large interpatient variability observed in children suggest a role for closed-loop control in optimizing the administration of intravenous anesthesia. OBJECTIVE: To clinically evaluate a robustly tuned system for closed-loop control of the induction and maintenance of propofol anesthesia in children undergoing gastrointestinal endoscopy...
August 2013: Paediatric Anaesthesia
Shlomi Cohen, Miguel M Glatstein, Dennis Scolnik, Liat Rom, Ayala Yaron, Sorina Otremski, Amir Ben-Tov, Shimon Reif
Successful colonoscopy includes full visualization of the terminal ileum, especially in inflammatory bowel disease when ileal biopsy is essential. In children, higher levels of anxiety and lack of cooperation often necessitate a deeper level of sedation. The aim of this study was to evaluate the effectiveness of propofol compared with midazolam and fentanyl for colonoscopy, and in accomplishing ileal and cecal intubation in particular. This was a retrospective cohort study comparing the rates of successful colonoscopy in patients receiving propofol with those receiving midazolam/fentanyl...
November 2014: American Journal of Therapeutics
F J Alados-Arboledas, M P Millán-Bueno, J F Expósito-Montes, C Santiago-Gutierrez, A Arévalo-Garrido, A Pérez-Parras, L Millán-Miralles, M C Martínez-Padilla, J de la Cruz-Moreno
INTRODUCTION: The objective of this investigation is to determine whether bispectral index (BIS®) monitoring during intravenous anaesthesia with spontaneous breathing for upper gastrointestinal endoscopy (UGE) in a pediatric population is useful for: a) decreasing the amount of drug, b) decreasing the time for awakening, and c) improving patient safety. PATIENTS AND METHOD: A quasi-experimental case-control prospective study was conducted in the setting of a second level hospital pediatric intensive care unit...
August 2013: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Loreto Godoy M, Paola Pino A, Gulliana Córdova L, Juan Andrés Carrasco O, Andrés Castillo M
INTRODUCTION: As a result of the increased number of both diagnostic and therapeutic procedures in pediatric outpatients, sedation and analgesia have gained relevance in this context. OBJECTIVE: To characterize the type of sedation and analgesia used by pediatric sedation teams in procedures done outside the operating room, as well as its safety and outcome. POPULATION AND METHODS: All procedures performed in 1 month to 5 year old patients under intravenous sedation with midazolam, ketamine, propofol or lidocaine were analyzed over a 14-month period...
January 2013: Archivos Argentinos de Pediatría
Karuppan Chetty Muthiah, Robert Enns, David Armstrong, Angela Noble, James Gray, Paul Sinclair, Palma Colacino, Harminder Singh
OBJECTIVE: To determine staffing and practice patterns for after-hours endoscopy service in Canada. METHODS: A link to a web-based survey was sent by e-mail to all clinical members of the Canadian Association of Gastroenterology in February 2011. A priori, it was planned to compare variations in practice among gastroenterologists (GIs) performing endoscopy in different regions of Canada, between pediatric and adult GIs, and between university and community hospitals...
December 2012: Canadian Journal of Gastroenterology, Journal Canadien de Gastroenterologie
Po-Hon Chen, Tzee-Chung Wu, Chih-Yu Chiu
BACKGROUND: There is insufficient data on pediatric endoscopic sedation practices worldwide. This study aimed to assess nationwide data on the current pediatric endoscopic sedation practices in Taiwan. METHODS: Members of the Taiwan Society of Pediatric Gastroenterology Hepatology and Nutrition in 2010 were asked to participate in an 18-item questionnaire survey regarding current sedation practices for diagnostic esophagogastric-duodenoscopy (EGD). RESULTS: A total of 22 of 32 questionnaires were returned for a response rate of 68...
June 2012: Pediatrics and Neonatology
Nurdan Bedirli, Odul Egritas, Kaan Cosarcan, Fusun Bozkirli
AIM: This study was conducted to compare the efficacy and safety of tramadol with those of fentanyl and to evaluate the impact of age in pediatric patients undergoing upper gastrointestinal endoscopy (UGIE). METHODS: Eighty patients with ASA I-II, aged 1-16 years, undergoing UGIE were included in this study. Baseline anesthesia was maintained with 1 mg·kg(-1) propofol, and then, the patients were randomly assigned to receive 2 μg·kg(-1) fentanyl (group F, n = 40) or 2 mg·kg(-1) tramadol (group T, n = 40)...
February 2012: Paediatric Anaesthesia
Jin-Oh Hahn, Sara Khosravi, Maryam Dosani, Guy A Dumont, J Mark Ansermino
OBJECTIVE: This investigation aimed to develop a pediatric pharmacodynamic model of propofol-induced tidal volume depression towards an ultimate goal of developing a dosing schedule that would preserve spontaneous breathing following a loading dose of propofol. METHODS: Fifty two ASA 1 and 2 children aged 6-15 year presenting for gastrointestinal endoscopy were enrolled. Subjects were administered a loading dose of 4 mg/kg of propofol intravenously at a constant infusion rate determined by a randomization schedule...
August 2011: Journal of Clinical Monitoring and Computing
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