Non-operating Room Anaesthesia Practices in an Endoscopy Unit at a Tertiary Centre: A Retrospective Evaluation
Journal Title: Istanbul Medical Journal - Year 2020, Vol 21, Issue 5
Abstract
Introduction: In recent years, gastrointestinal endoscopic procedures have been performed with sedo-analgesia at many centres. We aimed to present a 1-year retrospective analysis of non-operating room anaesthesia (NORA) applications at the endoscopy unit of our research and training hospital. Methods: We retrospectively analysed the NORA applications at our endoscopy unit between 01.01.2018 and 31.12.2018. The gender, age, American Society of Anaesthesiologist (ASA) score, intervention, anaesthesia drugs and complications were retrospectively analysed for 18.291 patients. Results: The sample comprised 47.03% men (n=8,602) and 52,97% women (n=9,689), with a mean age of 58.75±13.75 years (range, 16-92 years). Per the ASA classification, there were 57.22% (n=10,467), 37.92% (n=6,936), 4.79% (n=876) and 0.07% (n=12) patients with ASA grades I, II, III and IV, respectively. Gastroscopy (n=9,481, 51.84%), followed by colonoscopy (n=5,596, 30.60%) were the most commonly performed procedures. The combination of midazolam and meperidine; propofol, midazolam and meperidine and midazolam alone were administered for 43.99% (n=8,046); 53.48% (n=9,782) and 2.54% (n=463) of the patients, respectively. In a patient with hypertension, no major complication was encountered except for pneumothorax during the endoscopic retrograde cholangiopancreatography. The most common significant complication was desaturation; seen in 3.05% of the patients (n=559). Conclusion: Endoscopy units are non-operating units, albeit with a high patient volume. Thus, adopting sedation for interventional procedures in these units simplifies the procedure and increases patient safety and satisfaction, along with physician’s comfort. Compared with the studies performed at our clinic, we found similar complication rates as with sedoanalgesia protocols.
Authors and Affiliations
Ayşe Gül Ferlengez, Ekrem Çakar, Duygu Demiröz Aslan
Keywords
Related Articles
- EP ID EP688650
- DOI 10.4274/imj.galenos.2020.22438
- Views 119
- Downloads 0
The Effects of Metformin, Ethinyl Estradiol/Cyproterone Acetate, and Metformin Ethinyl Estradiol/Cyproterone Acetate Combination Therapy on Carotid Artery Intima-media Thickness in Patients with Polycystic Ovary Syndrome
Introduction: Patients with polycystic ovary syndrome (PCOS) are in the risk group for early-onset cardiovascular disease. There are few studies evaluating physiological and inflammatory cardiovascular risk factors in PC...
Cerebral Venous Thrombosis in Pregnancy
Introduction: Although not a prevalent disease, cerebral venous thrombosis (CVT) has been considered relatively morbid. There is little research about CVT in Iran, but it is more likely during pregnancy and puerperium. T...
Assessment of Nutritional Status of Hospitalised Geriatric Patients and its Relationship with Sarcopenia
Introduction: Sarcopenia and malnutrition are geriatric syndromes that reduce quality of life and muscle function in old age. This study aimed to evaluate the nutritional status of geriatric patients, determine the statu...
The Effects of Resistance and Aerobic Exercises on Adiponectin, Insulin Resistance, Lipid Profile and Body Composition in Adolescent Boys with Obesity
Introduction: This present study aimed to examine the effects of long-term resistance exercise (REG) and aerobic exercise (AEG) on the adiponectin, insulin resistance, lipid profile and body composition in adolescent boy...
The Effect of General and Spinal Anaesthesia on Pulmonary Function Tests in Geriatric Patients
Introduction: This study aimed to compare the effects of general and spinal anaesthesia on pulmonary function tests (PFT) in the postoperative period among patients aged ≥65 years. Methods: This prospective study includ...