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Propofol and Remifentanyl Versus Midazolam and Fentanyl for Diagnostic Colonoscopy in Patients With Compensated Cirrhosis Child A-B

Registration Number
NCT01148277
Lead Sponsor
Ziv Hospital
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
90
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.
  • HCC

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Propofol and RemifentanylPropofol and RemifentnylPropofol, colonoscopies, liver diseases, cirrhosis
midazolam and fentanylmidazolam and fentanylmidazolam and fentanyl, colonoscopies, liver diseases
control midazolam anf fentanylmidazolam anf fentanylmidazolam anf fentanyl
Primary Outcome Measures
NameTimeMethod
Safety and efficacy of propofol in liver diseasesup to 3 hours

At the end of each endoscopy

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ziv medical center liver unit

🇮🇱

Safed, Israel, Israel

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