A Prospective, Blinded Study Examining Sedation Levels During Outpatient Colonoscopies
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Outpatient Colonoscopy
- Sponsor
- Baylor Research Institute
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Examine possible relationships (correlations) between sedation using the SEDLine monitors and level of sedation using the Ramsay Sedation Scale and examine the number and type of airway interventions and clinical signs performed during the procedure.
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Examine levels of sedation required for patients to comfortably undergo colonoscopy using propofol and if adjunct monitoring equipment promotes patient safety.
Detailed Description
Propofol for sedation during outpatient endoscopy has become a popular technique in place of midazolam and opioid sedation. It has been associated with improved patient satisfaction and a faster recovery with less nausea and vomiting. However, there are a number of potential adverse effects associated with propofol. It has no analgesic effects; therefore, when used for moderate sedation procedures it frequently has to provide deeper levels of sedation to allow a painful procedure to be performed. Some patients are sedated to the level of general anesthesia and may develop respiratory depression or airway obstruction requiring immediate airway support. We examined the level of sedation required for patients to comfortably undergo routine colonoscopy using propofol and what monitoring system would best predict the patients who might need an airway intervention.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Greater than 18 years of age
- •ASA classification of I, II, or III
Exclusion Criteria
- •Anesthesiologist plans to use a combination of medications other than propofol for sedation.
- •ASA classification IV or higher
- •Lesions on forehead or earlobes
Outcomes
Primary Outcomes
Examine possible relationships (correlations) between sedation using the SEDLine monitors and level of sedation using the Ramsay Sedation Scale and examine the number and type of airway interventions and clinical signs performed during the procedure.
Time Frame: 2 years