Propofol and Remifentanyl Versus Midazolam and Fentanyl for Diagnostic Colonoscopy in Patients With Compensated Cirrhosis Child A-B
Overview
- Phase
- Not Applicable
- Intervention
- Propofol and Remifentnyl
- Conditions
- Liver Disease
- Sponsor
- Ziv Hospital
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Safety and efficacy of propofol in liver diseases
- Last Updated
- 15 years ago
Overview
Brief Summary
This is a prospective, randomized-controlled trial (RCT) comparing the use of Propofol and Remifentanyl and traditional sedation (Midazolam and Fentanyl) for diagnostic colonoscopies in patients with compensated cirrhosis child A-B. The working hypothesis is that the use of propofol will be translated in a shorter recovery and discharge times with a higher patient satisfaction and a decrease in general complications (Hepatic Encephalopathy) in the context of patients with advanced liver disease.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Consecutive patients older than 18 and younger than 75 years with cirrhosis defined by the presence of liver fibrosis at least F3 and higher in the METAVIR score or with established cirrhosis (Child Pugh A, B)
Exclusion Criteria
- •Patients with significant cardiorespiratory disease i.e. advanced respiratory, renal and heart failure (ASA class III or higher except for patients with decompensate liver cirrhosis), obstructive sleep apnea.
Arms & Interventions
Propofol and Remifentanyl
Propofol, colonoscopies, liver diseases, cirrhosis
Intervention: Propofol and Remifentnyl
midazolam and fentanyl
midazolam and fentanyl, colonoscopies, liver diseases
Intervention: midazolam and fentanyl
control midazolam anf fentanyl
midazolam anf fentanyl
Intervention: midazolam anf fentanyl
Outcomes
Primary Outcomes
Safety and efficacy of propofol in liver diseases
Time Frame: up to 3 hours
At the end of each endoscopy