News

Propofol Compared With Combination Propofol or Midazolam/Fentanyl for Endoscopy in a Community Setting

This study evaluated procedural efficiency and patient satisfaction in patients who had received propofol, midazolam/fentanyl/propofol (MFP), or midazolam/fentanyl, as sedation for either esophagogastroduodenoscopy or colonoscopy. Patients receiving propofol felt less discomfort and need for adjustment in the sedation, and remembered less of the procedure compared with the MFP group.

This retrospective cohort study evaluated procedural efficiency and patient satisfaction in patients who had received propofol, midazolam/fentanyl/propofol (MFP), or midazolam/fentanyl, as sedation for either esophagogastroduodenoscopy or colonoscopy. Questionnaires about procedural times and patient satisfaction were administered.

Use of propofol for colonoscopy resulted in shorter time (minutes) from induction to start of procedure (mean ± standard deviation: propofol, 1.3 ± 0.57; MFP, 3.2 ± 2.2; midazolam/fentanyl, 3.8 ± 2.7; P < .04) and shorter procedure time (propofol, 13 ± 0.36; MFP, 15 ± 0.004; midazolam/fentanyl, 15 ± 0.005 minutes; P < .05). Recovery time was less for patients receiving propofol for their colonoscopy compared with the other groups (propofol, 9 ± 8; MFP, 15 ± 9; midazolam/fentanyl, 18 ± 11 minutes; P < .05). Patients undergoing esophagogastroduodenoscopy who received propofol had a shorter recovery time (9 ± 7 minutes vs MFP, 14 ± 9 minutes, and midazolam/fentanyl, 19 ± 11 minutes; P < .05). Patients receiving propofol felt less discomfort and need for adjustment in the sedation, and remembered less of the procedure compared with the MFP group.

Propofol resulted in less time in the endoscopy unit, quicker recovery and discharge, and greater patient satisfaction than did balanced or conscious sedation.

​​

Link to article:  http://digitaleditions.sheridan.com/publication/?i=144247

Experiment

News & Updates

Propofol Compared With Combination Propofol or Midazolam/Fentanyl for Endoscopy in a Community Setting

John E. Poulos, MD, MSci, FACG, AGAF, FACP Peter T. Kalogerinis, MMS, PA-C Jeffrey N. Caudle, CRNA, MSN

Carolina Anesthesia Associates, PA

Founded in 1997

"Caring Every Hour, Every Minute."

242 9th Ave. Dr NE, Hickory, NC 28601

Tel: 828-327-6673 / Fax: 828-327-0668

  • White LinkedIn Icon
  • White Facebook Icon