Retrospective analysis of deep sedation in pediatric population for endoscopic procedures: adverse events and outcomes
Journal Title: Medical Science and Discovery - Year 2015, Vol 2, Issue 4
Abstract
Background: Upper gastrointestinal endoscopy (E) and colonoscopy (C) procedures are not well tolerated in pediatric population. General anesthesia or sedation applied during gastroendoscopic procedures. This study is done to review our sedation practice and to evaluate the clinical effectiveness and side effects of an anaesthesiologist administered deep sedation for gastroendoscopic procedures outside the operating room. Methods: After Institutional Review Board Approval, the charts of all children who underwent endoscopic procedure at the outpatient endoscopy suite under sedation, (Jan 2011- December 2011) were reviewed retrospectively. Results: Deep sedation was used in 301 procedures, which 255 were endoscopic and 23 were colonoscopic procedures. Twenty-three children had both procedures performed in one session. Demographic details: Age [year, mean]: 10,1±5,1, Gender (M/F): 152/149, Body weight [kg, (mean±SD )]: 35.7±18.7. Severe bradycardia with oxygen desaturation was recorded in two patients. All procedures were carried out successfully. Emergence delirium was seen in only one patient who was the substance user. No significant side effect derived from intervention was observed during the procedures, except one case (perforation of the colon).Conclusion: Deep sedation applied by anesthesiologist found to be adequately safe and appropriate for children during gastroendoscopic procedures.
Authors and Affiliations
Berrin Isik, Volkan Sivgin, Mustafa Arslan, Seyfi Kartal, Yusuf Unal, Mehmet Akcabay
Keywords
Related Articles
- EP ID EP520404
- DOI -
- Views 28
- Downloads 0
A rare cause of ptosis in emergency medicine practice: acute sinusitis case report
Objective: Paranasal sinus infections are one of the most frequent causes of emergency service admissions. With increased incidence, complications are often local and classified according to the effecting side....
Impact of menopause on quality of life: A cross sectional study in menopausal females in the north of Jordan
Aims: Menopause can severely effects the somatic, urogenital and psychological aspects of life, our aim is to find out the Health Related Quality of Life in female patients with menopause in a tertiary care hospital. Met...
FACTORS TRIGGERING EPILEPTIC SEIZURES IN PATIENTS OVER 50 YEARS
Objective:In this study the factors that trigger the seizures in epileptic patients over the age of 50 was investigated and the frequency of seizures was analyzed regarding different age, gender, type of seizure and etio...
The investigation of relationship between adrenomedullin vascular growth endothelial factor in obese and calorie restricted rats
Objective: Obesity and overweight are the most frequent chronic medical problems, and the increasing prevalence of obesity is a worldwide phenomenon. According to the data of World Health Organization (WHO) obesity affec...
Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor
Introduction: Elastofibroma dorsi is a rare clinical situation mostly encountered as a non-tender solid mass in inferior margin of scapula, typically in elder women. It is accepted as a pseudotumor.Case Presentation: 55...