Propofol vs versed colonoscopy

    • Cost Analysis of Intravenous Propofol Monotherapy versus Intravenous ...

      conflicting findings comparing propofol monotherapy with combination sedation. Alatise et al7 performed a large prospective study that evenly distributed 120 pa-tients undergoing outpatient colonoscopy to 1 of 3 treat-ment regimens: propofol monotherapy, propofol with midazolam and/or fentanyl, and fentanyl and midazolam without propofol.

    • Low-dose midazolam and propofol use for conscious sedation during ...

      of propofol (EC-b subgroup); (c) Patients (n = 200) were administered with 25 mg of meperidine (12.5 mg if body weight < 50 kg or age > 70) along with 0.025 mg/kg of midazolam and initial dose of 0.5 mg/kg of propofol (EC-c subgroup).11 If the level of target was not reached or patients were undersedated, 10-20 mg of propofol was additionally

    • Guidelines for endoscopy in pregnant and lactating women - ASGE

      Propofol (category B) In the pregnant patient, it is recommended that propo-fol be administrated by a trained anesthesia provider be-cause of its narrow therapeutic index and the importance of close monitoring. Safety in the first trimester has not been well-studied.22-23 Simethicone (category C) Simethicone is a category C drug because of lack of

    • Anesthetist-Directed Sedation for Colonoscopy: A ... - Gastroenterology

      propofol-induced deep sedation and general anesthesia for a procedure like colonoscopy outweigh the benefits of having an airway expert in the room. It is not surprising that a complication like aspiration, which fortunately usually results in no more than a round of antibiotics for pneumonia or bronchitis with or without a short hospitali-

    • [PDF File]NCT03139279 Comparing Time to Readiness for Discharge After Colonoscopy ...

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      Comparing Time to Readiness for Discharge After Colonoscopy: Propofol and Dexmedetomidine vs Propofol Only Sedation PROTOCOL Version 2/21/2018 Principal investigators: Dennis Dimaculangan MD Other investigators: Leonard Edokpolo MD Jeremy C. Weedon PhD Joanna Serafin, PhD James Kim, M.Eng. Isabelle Kao, B.A. Alexander Lo, B.S.

    • [PDF File]Propofol and the electroencephalogram - Harvard University

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      set features make propofol ideal for ambulatory surgeries or anes-thesia maintenance. In comparison with isoflurane and desflurane, propofol also has some antiemetic and euphoric effects (Gepts et al., 1985; Tramer et al., 1997; Gupta et al., 2004). The use of propofol in intensive care units is widely recognized

    • Sedative and analgesic effects of propofol–ketamine versus propofol ...

      procedures.2 Propofol is one of the most common short-acting intravenous sedative drugs in the field of emergency medicine, which is used in children and adults. Also, for intubated or ... 5.65± 0.35 vs fentofol: 9.33 ± 0.78); the recovery time in group B (fentofol) was longer than that in group A (ketofol) (p= 0.001). Drug complications were

    • Randomized controlled trial of patient-controlled sedation for ...

      reports of endoscopist-administered propofol efficacy is growing [16–22]. However, propofol has a narrow therapeutic index and can produce deep sedation, result-ing in respiratory depression and even apnoea. As the depth of sedation is a continuum, the doses required for conscious sedation as used in colonoscopy are markedly

    • Propofol Compared With Combination Propofol or Midazolam/Fentanyl for ...

      The propofol group under-going colonoscopy also had a shorter procedure time (13 ± 6 minutes) than did the MFP (15 ± 6 minutes) and mid-azolam/fentanyl groups (15 ± 7 minutes), with no signifi - cant difference in procedure duration between the MFP and midazolam/fentanyl groups (P = .44). Patients receiv-

    • [PDF File]Propofol for Screening Colonoscopy in Low-Risk Patients: Are We ... - JAMA

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      1. If you were to have screening colonoscopy, what sedation would you prefer? • Unsedated. • Midazolam-fentanyl (moderate sedation). • Propofol (deep sedation). 2. Ifyoupreferpropofol,howmuchextrawouldyoubewill-ing to pay out of pocket? • $0 • $1-$100 • $101-$200 • $201-$300 • $301-$500 • More than $500 • Doesn’t matter 3.

    • Propofol in Screening Colonoscopy: Point of Strength or Weakness?

      of propofol when administered by an expert in airway management. However, if the use of propofol does not affect the risk-to-benefit ratio of screening colonoscopy, it may affect— as suggested by Dr. Hall [1]—its cost-effec-tiveness profile. Indeed, in the United States, as well as in other Western countries, such as

    • [PDF File]Prospective Study Efficiency and patient experience with propofol vs ...

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      Thornley P et al. Colonoscopy - propofol or midazolam/fentanyl? enrolled during the study period with 126 patients in the AAP group and 104 patients in the EAC group. Mean procedure time was 18.3 ± 10.1 min in the AAP group and 14.7 ± 7.1 min in the EAC group (P = 0.002). Mean total room time was 36.8 ± 13.7 with AAP

    • PROPOFOL USE DURING GASTROINTESTINAL ENDOSCOPY - ASGE

      ly shorter with propofol (19 vs. 29 minutes).7 Combined studies Propofol has been evaluated in three studies com-prising 545 patients undergoing EGD, colonoscopy and ERCP. The authors concluded that sedation with propofol was comparable to that achieved with con-ventional agents, while providing for faster recovery time.2,19,20 Pediatric Use

    • [PDF File]Dexmedetomidine versus Propofol in Combination with Fentanyl for ...

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      Fentanyl for Sedation-Analgesia in Colonoscopy Procedures: A Randomized Prospective Study 1. Department of Anesthesiology, Sina ... 330 Dexmedetomidine Versus Propofol for Sedation in Colonoscopy Table 1: Characteristics of included patients and the procedures Variables Group D Group P P Age (mean±sd) 55.8±12.2 57.5±12.7 0.24 Sex (Male/

    • [PDF File]A randomized controlled trial of light versus deep propofol ... - Springer

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      for colonoscopy. Secondary analysis included complications, patient clinical recovery, and post-procedure cognitive impairment. Methods Two hundred patients undergoing elective outpatient colonoscopy were randomized to light (bispectral index [BIS] 70-80) or deep (BIS \ 60) sedation with propofol and fentanyl. Recall was assessed

    • Guidelines for sedation and anesthesia in GI endoscopy - ASGE

      colonoscopy confirmed that the ASA class is associated with a risk of adverse events during GI procedures and Figure 1. The Mallampati Classification. Class I: soft palate, fauces, uvula, pillars. Class II: soft palate, fauces, portion of uvula. Class III: soft palate, base of uvula. Class IV: hard palate only.

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