Randomized clinical trial of Entonox ® versus midazolam-fentanyl sedation for colonoscopy

British Journal of Surgery

Volumn 96, Issue 4, 2009, Pages 361-368

  Maslekar, S ^a   Gardiner, A ^a   Hughes, M ^a   Culbert, B ^a   Duthie, G S ^a  

^a UNIVERSITY OF HULL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

FENTANYL; FENTANYL CITRATE; MIDAZOLAM; NITROUS OXIDE PLUS OXYGEN; ANESTHETIC AGENT; NITROUS OXIDE; OXYGEN;

ADULT; AGED; ARTICLE; CLINICAL TRIAL; COLONOSCOPY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG DOSE INCREASE; DRUG EFFICACY; FEMALE; HUMAN; INTUBATION; MAJOR CLINICAL STUDY; MALE; PAIN ASSESSMENT; PATIENT ASSESSMENT; PATIENT SATISFACTION; PRIORITY JOURNAL; PSYCHOMOTOR ACTIVITY; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; SEDATION; VISUAL ANALOG SCALE; COMPARATIVE STUDY; CONVALESCENCE; DRUG EFFECT; HEALTH PERSONNEL ATTITUDE; INHALATIONAL DRUG ADMINISTRATION; INTRAVENOUS DRUG ADMINISTRATION; METHODOLOGY; MIDDLE AGED; PAIN; PSYCHOMOTOR PERFORMANCE;

ADMINISTRATION, INHALATION; ADULT; AGED; ANESTHETICS, COMBINED; ATTITUDE OF HEALTH PERSONNEL; COLONOSCOPY; FEMALE; FENTANYL; HUMANS; INFUSIONS, INTRAVENOUS; MALE; MIDAZOLAM; MIDDLE AGED; NITROUS OXIDE; OXYGEN; PAIN; PATIENT SATISFACTION; PSYCHOMOTOR PERFORMANCE; RECOVERY OF FUNCTION;

EID: 63049099835     PISSN: 00071323     EISSN: 13652168     Source Type: Journal    
DOI: 10.1002/bjs.6467     Document Type: Article

References (27)

1. Lindsay DC, Freeman JG, Cobden I, Record CO. Should colonoscopy be the first investigation for colonic disease? BMJ (Clin Res Ed) 1988; 296: 167-169.
2. Notini-Gudmarsson AK, Dolk A, Jakobsson J, Johansson C. Nitrous oxide: a valuable alternative for pain relief and sedation during routine colonoscopy. Endoscopy 1996; 28: 283-287.
3. S'a R̂ego MM, Watcha MF,White PF. The changing role of monitored anesthesia care in the ambulatory setting. Anesth Analg 1997; 85: 1020-1036.
4. Lawrence B, Cohen JNG, Durkalski V, Miller KM, Aisenberg J. Endoscopic sedation in the United States in 2004: results from a postal survey of 5000 gastroenterologists. Gastrointest Endosc 2005; 61 AB111 (abstract).
5. Keeffe EB, O'Connor KW. 1989 A/S/G/E survey of endoscopic sedation and monitoring practices. Gastrointest Endosc 1990; 36(Suppl): S13-S18.
6. Froehlich F, Gonvers JJ, Fried M. Conscious sedation, clinically relevant complications and monitoring of endoscopy: results of a nationwide survey in Switzerland. Endoscopy 1994; 26: 231-234.
7. Keeffe EB. Sedation and analgesia for endoscopy. Gastroenterology 1995; 108: 932-934.
8. Williams CB. Comfort and quality in colonoscopy. Gastrointest Endosc 1994; 40: 769-770.
9. Arrowsmith JB, Gerstman BB, Fleischer DE, Benjamin SB. Results from the American Society for Gastrointestinal Endoscopy/US Food and Drug Administration collaborative study on complication rates and drug use during gastrointestinal endoscopy. Gastrointest Endosc 1991; 37: 421-427.
10. Bell GD. Review article: premedication and intravenous sedation for upper gastrointestinal endoscopy. Aliment Pharmacol Ther 1990; 4: 103-122.
11. Rimmer KP, Graham K, Whitelaw WA, Field SK. Mechanisms of hypoxemia during panendoscopy. J Clin Gastroenterol 1989; 11: 17-22.
12. O'Connor KW, Jones S. Oxygen desaturation is common and clinically underappreciated during elective endoscopic procedures. Gastrointest Endosc 1990; 36(Suppl): S2-S4.
13. Wootton FT III. Inhalation of N2O/O2 versus conscious sedation for colonoscopy. Am J Gastroenterol 1998; 93: 660-661.
14. Safety and sedation during endoscopic procedures. http://www.bsg.org.uk/ bsgdisp1.php?id=48c1b0bcae9daa 89d36a&h=1&m=00023 [accessed 25 March 2008].
15. Chernik DA, Gillings D, Laine H, Hendler J, Silver JM, Davidson AB et al. Validity and reliability of the Observer's Assessment of Alertness/Sedation Scale: study with intravenous midazolam. J Clin Psychopharmacol 1990; 10: 244-251.
16. Cohen LB, Delegge MH, Aisenberg J, Brill JV, Inadomi JM, Kochman ML et al. AGA Institute review of endoscopic sedation. Gastroenterology 2007; 133: 675-701.
17. Johanson JF, Schmitt CM, Deas TM Jr, Eisen GM, Freeman M, Goldstein JL et al. Quality and outcomes assessment in Gastrointestinal Endoscopy. Gastrointest Endosc 2000; 52: 827-830.
18. Trojan J, Saunders BP,Woloshynowych M, Debinsky HS, Williams CB. Immediate recovery of psychomotor function after patient-administered nitrous oxide/oxygen inhalation for colonoscopy. Endoscopy 1997; 29: 17-22.
19. Willey J, Vargo JJ, Connor JT, Dumot JA, Conwell DL, Zuccaro G. Quantitative assessment of psychomotor recovery after sedation and analgesia for outpatient EGD. Gastrointest Endosc 2002; 56: 810-816.
20. Martin JP, Sexton BF, Saunders BP, AtkinWS. Inhaled patient-administered nitrous oxide/oxygen mixture does not impair driving ability when used as analgesia during screening flexible sigmoidoscopy. Gastrointest Endosc 2000; 51: 701-703.
21. Entonox Data Sheet. http://www.bocmedical.co.uk [accessed 12 January 2007].
22. http://www.18weeks.nhs.uk/Content.aspx?path=/achieve-and -sustain/Diagnostics/Endoscopy/ [accessed 25 January 2009].
23. Vargo JJ, Bramley T, Meyer K, Nightengale B. Practice efficiency and economics: the case for rapid recovery sedation agents for colonoscopy in a screening population. J Clin Gastroenterol 2007; 41: 591-598.
24. Centers for Disease Control and Prevention (CDC). Colorectal cancer test use among persons aged > or = 50 years -United States, 2001. MMWR Surveill Summ 2003; 52: 193-196.
25. Forbes GM, Collins BJ. Nitrous oxide for colonoscopy: a randomized controlled study. Gastrointest Endosc 2000; 51: 271-277.
26. Lindblom A, Jansson O, Jeppsson B, T̈ ornebrandt K, Benoni C, Hedenbro JL. Nitrous oxide for colonoscopy discomfort: a randomized double-blind study. Endoscopy 1994; 26: 283-286.
27. Harding TA, Gibson JA. The use of inhaled nitrous oxide for flexible sigmoidoscopy: a placebo-controlled trial. Endoscopy 2000; 32: 457-460.