Does anesthesiologist-directed sedation for ERCP improve deep cannulation and complication rates?

Digestive Diseases and Sciences

Volumn 56, Issue 7, 2011, Pages 2185-2190

  Mehta, Paresh P ^a   Vargo, John J ^a   Dumot, John A ^a   Parsi, Mansour A ^a   Lopez, Rocio ^a   Zuccaro, Gregory ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Anesthesia; ERCP; Propofol; Sedation

Indexed keywords

BENZODIAZEPINE; NARCOTIC AGENT;

ADULT; ANESTHESIST; ARTICLE; CANNULATION; CHOLANGITIS; CONTROLLED STUDY; DEATH; DEMOGRAPHY; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; FEMALE; GASTROENTEROLOGY; GENDER; HUMAN; MAJOR CLINICAL STUDY; MALE; PANCREATITIS; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; SEDATION; SEPSIS;

ADULT; AGED; ANESTHESIA; CATHETERIZATION; CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC RETROGRADE; FEMALE; HUMANS; MALE; MIDDLE AGED; PANCREATITIS; RETROSPECTIVE STUDIES;

EID: 79959747148     PISSN: 01632116     EISSN: 15732568     Source Type: Journal    
DOI: 10.1007/s10620-011-1568-3     Document Type: Article

References (25)

1. Cohen LB, Delegge MH, Aisenberg J, et al. AGA Institute review of endoscopic sedation. Gastroenterology. 2007;133:675-701. (Pubitemid 47193131)
2. Cohen LB, Dubovsky AN, Aisenberg J, et al. Propofol for endoscopic sedation: A protocol for safe and effective administration by the gastroenterologist. Gastrointest Endosc. 2003;58: 725-732. (Pubitemid 37370487)
3. Dewitt J, McGreevy K, Sherman S, et al. Nurse-administered propofol sedation compared with midazolam and meperidine for EUS: A prospective, randomized trial. Gastrointest Endosc. 2008;68:499-509.
4. Heuss LT, Schnieper P, Drewe J, et al. Risk stratification and safe administration of propofol by registered nurses supervised by the gastroenterologist: a prospective observational study of more than 2000 cases. Gastrointest Endosc. 2003;57:664-671.
5. Külling D, Rothenbühler R, Inauen W. Safety of nonanesthetist sedation with propofol for outpatient colonoscopy and esophagogastroduodenoscopy. Endoscopy. 2003;35:679-682. (Pubitemid 37025147)
6. Rex DK, Heuss LT, Walker JA, et al. Trained registered nurses/endoscopy teams can administer propofol safely for endoscopy. Gastroenterology. 2005;129:1384-1391. (Pubitemid 41597380)
7. Riphaus A, Stergiou N, Wehrmann T. Sedation with propofol for routine ERCP in high-risk octogenarians: A randomized, controlled study. Am J Gastroenterol. 2005;100:1957-1963.
8. Sipe BW, Rex DK, Latinovich D, et al. Propofol versus midazolam/meperidine for outpatient colonoscopy: Administration by nurses supervised by endoscopists. Gastrointest Endosc. 2002;55:815-825. (Pubitemid 41127896)
9. Vargo JJ, Zuccaro G Jr, Dumot JA, et al. Gastroenterologist-administered propofol versus meperidine and midazolam for advanced upper endoscopy: a prospective, randomized trial. Gastroenterology. 2002;123:8-16. (Pubitemid 34747520)
10. Aisenberg J, Brill JV, Ladabaum U, et al. Sedation for gastrointestinal endoscopy: new practices, new economics. Am J Gastroenterol. 2005;100:996-1000. (Pubitemid 40769032)
11. Cohen LB, Wecsler JS, Gaetano JN, et al. Endoscopic sedation in the United States: Results from a nationwide survey. Am J Gastroenterol. 2006;101:967-974. (Pubitemid 43725309)
12. Petersen BT. ERCP outcomes: Defining the operators, experience, and environments. Gastrointest Endosc. 2002;55:953-958. (Pubitemid 41127928)
13. Cotton PB, Lehman G, Vennes J, et al. Endoscopic sphincterotomy complications and their management: an attempt at consensus. Gastrointest Endosc. 1991;37:383-393.
14. Freeman ML, DiSario JA, Nelson DB, et al. Risk factors for post-ERCP pancreatitis: A prospective, multicenter study. Gastrointest Endosc. 2001;54:425-434. (Pubitemid 33661145)
15. Freeman ML, Guda NM. ERCP cannulation: A review of reported techniques. Gastrointest Endosc. 2005;61:112-125.
16. Choudari CP, Sherman S, Fogel EL, et al. Success of ERCP at a referral center after a previously unsuccessful attempt. Gastrointest Endosc. 2000;52:478-483.
17. Mallery JS, Baron TH, Dominitz JA, et al. Complications of ERCP. Gastrointest Endosc. 2003;57:633-638.
18. Patel S, Vargo JJ, Khandwala F, et al. Deep sedation occurs frequently during elective endoscopy with meperidine and midazolam. Am J Gastroenterol. 2005;100:2689-2695.
19. Qadeer MA, Vargo JJ, Khandwala F, et al. Propofol versus traditional sedative agents for gastrointestinal endoscopy: A metaanalysis. Clin Gastroenterol Hepatol. 2005;3:1049-1056. (Pubitemid 41565368)
20. Wehrmann T, Kokabpick S, Lembcke B, et al. Efficacy and safety of intravenous propofol sedation during routine ERCP: A prospective, controlled study. Gastrointest Endosc. 1999;49:677-683. (Pubitemid 29269663)
21. Kongkam P, Rerknimitr R, Punyathavorn S, et al. Propofol infusion versus intermittent meperidine and midazolam injection for conscious sedation in ERCP. J Gastrointest Liver Dis. 2008;17:291-297.
22. Schilling D, Rosenbaum A, Schweizer S, et al. Sedation with propofol for interventional endoscopy by trained nurses in high-risk octogenarians: A prospective, randomized, controlled study. Endoscopy. 2009;41:295-298.
23. Rex DK, Deenadayalu VP, Eid E, et al. Endoscopist-directed administration of propofol: A worldwide safety experience. Gastroenterology. 2009;137:1229-1237.
24. American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004-1017.
25. Schutz SM, Abbott RM. Grading ERCPs by degree of difficulty: a new concept to produce more meaningful outcome data. Gastrointest Endosc. 2000;51:535-539. (Pubitemid 30322335)