Patient-controlled Analgesia and Sedation With Alfentanyl Versus Fentanyl for Colonoscopy: A Randomized Double Blind Study

Journal of Clinical Gastroenterology

Volumn 45, Issue 7, 2011, Pages e72-e75

  Usta, Burhanettin ^a   Türkay, Cansel ^a   Muslu, Bünyamin ^a   Gözdemir, Muhammet ^b   Kasapoglu, Benan ^b   Sert, Hüseyin ^b   Demircioğlu, Rüveyda Irem ^b   Karabayirli, Safinaz ^b  

^a Departments of Anesthesiology and Reanimation   (Turkey)

^b FATIH UNIVERSITY MEDICAL SCHOOL   (Turkey)

Author keywords

Alfentanyl; Colonoscopy; Fentanyl; Patient controlled analgesia; Sedation

Indexed keywords

ALFENTANIL; FENTANYL; MIDAZOLAM;

ADULT; AGITATION; ANESTHETIC RECOVERY; APNEA; ARTICLE; BRADYCARDIA; COLITIS; COLONOSCOPY; COLORECTAL CANCER; DIVERTICULOSIS; DOUBLE BLIND PROCEDURE; DRUG SAFETY; FEMALE; HEMODYNAMICS; HEMORRHOID; HUMAN; HYPERTENSION; HYPOTENSION; LARYNX SPASM; LOADING DRUG DOSE; MAJOR CLINICAL STUDY; MALE; MUCOSA INFLAMMATION; NAUSEA; OXYGEN DESATURATION; OXYGEN SATURATION; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; POLYP; PRIORITY JOURNAL; PRURITUS; RANDOMIZED CONTROLLED TRIAL; SCORING SYSTEM; SEDATION; SIDE EFFECT; TACHYCARDIA;

ADULT; AGED; ALFENTANIL; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS, OPIOID; ANESTHETICS, INTRAVENOUS; COLONOSCOPY; CONSCIOUS SEDATION; DOUBLE-BLIND METHOD; FEMALE; FENTANYL; HUMANS; MALE; MIDAZOLAM; MIDDLE AGED; PATIENT SATISFACTION; TREATMENT OUTCOME;

EID: 79960617503     PISSN: 01920790     EISSN: 15392031     Source Type: Journal    
DOI: 10.1097/MCG.0b013e318201fbce     Document Type: Article

References (29)

1. Cirillo M, Li Pizzi A, Gargiulo G, et al. The colonoscopy in elderly patients. Ann Ital Chir. 2009;80:131-134
2. Leung FW. Methods of reducing discomfort during colonoscopy. Dig Dis Sci. 2008;53:1462-1467
3. Sporea I, Popescu A, Sandesc D, et al. Sedation during colonoscopy. Rom J Gastroenterol. 2005;14:195-198
4. Kilpatrick GJ, McIntyre MS, Cox RF, et al. A novel ultra-short-acting benzodiazepine. Anesthesiology. 2007;107:60-66
5. Külling D, Bauerfeind P, Fried M, et al. Patient-controlled analgesia and sedation in gastrointestinal endoscopy. Gastrointest Endosc Clin N Am. 2004;14:353-368
6. Weinbroum AA, Szold O, Ogorek D, et al. The midazolam-induced paradox phenomenon is reversible by flumazenil. Epidemiology, patient characteristics and review of the literature. Eur J Anaesthesiol. 2001;18:789-797
7. Lazzaroni M, Bianchi Porro G. Preparation, premedication and surveillance. Endoscopy. 2005;37:101-109
8. Fulton SA, Mullen KD. Completion of upper endoscopic procedures despite paradoxical reaction to midazolam: a role for flumazenil? Am J Gastroenterol. 2000;95:809-811
9. Atkins JH, Mandel JE. Recent advances in patient-controlled sedation. Curr Opin Anaesthesiol. 2008;21:759-765
10. Kulling D, Rothenbuhler R, Inauen W. Safety of nonanesthetist sedation with propofol for outpatient colonoscopy and esophagogastroduodenoscopy. Endoscopy. 2003;35:679-682
11. Roseveare C, Seavell C, Patel P, et al. Patient-controlled sedation and analgesia, using propofol and alfentanil, during colonoscopy: a prospective randomized controlled trial. Endoscopy. 1998;30:768-773
12. Rex DK, Overley CA, Walker J. Registered nurse-administered propofol sedation for upper endoscopy and colonoscopy: Why? When? How? Rev Gastroenterol Disord. 2003;3:70-80
13. Gottschling S, Larsen R, Meyer S, et al. Acute pancreatitis induced by short-term propofol administration. Paediatr Anaesth. 2005;15:1006-1008
14. Jawaid Q, Presti ME, Neuschwander-Tetri BA, et al. Acute pancreatitis after single-dose exposure to propofol: a case report and review of literature. Dig Dis Sci. 2002;47:614-618
15. Lee DW, Chan AC, Sze TS, et al. Patient-controlled sedation versus intravenous sedation for colonoscopy in elderly patients: a prospective randomized controlled trial. Gastrointest Endosc. 2002;56:629-632
16. Rivera R, Antognini JF. Perioperative drug therapy in elderly patients. Anesthesiology. 2009;110:1176-1181
17. Minocha A, Srinivasan R. Conscious sedation. Dig Dis Sci. 1998;43:1835-1844
18. Lazzaroni M, Porro GB. Preparation, premedication and surveillance. Endoscopy. 1998;30:53-60
19. Mc Cloy RFWhitwam JG, McCloy RF. Gastroenterology. Principles and practice of sedation. 19981st ed United Kingdom Blackwell Science:119-125
20. Knape JT, Adriaensen H, van Aken H, et al. Guidelines for sedation and/or analgesia by non-anaesthesiology doctors. Eur J Anaesthesiol. 2007;24:563-567
21. Tombasco M. The ins and outs of I. V. anesthetics. Nurs Manage. 2006(suppl):2-5
22. Baudet JS, Diaz-Bethencourt D, Avilés J, et al. Minor adverse events of colonoscopy on ambulatory patients: the impact of moderate sedation. Eur J Gastroenterol Hepatol. 2009;21:656-661
23. Raeder J. Opioid or propofol: what kind of drug for what kind of sedation? Manual dosing or target-controlled infusion? Anesth Analg. 2009;108:704-706
24. Vargo JJ, Bramley T, Meyer K, et al. Practice efficiency and economics: the case for rapid recovery sedation agents for colonoscopy in a screening population. J Clin Gastroenterol. 2007;41:591-598
25. Heuss LT, Schnieper P, Drewe J, et al. Conscious sedation with propofol in elderly patients: a prospective evaluation. Aliment Pharmacol Ther. 2003;17:1493-1501
26. Heuss LT, Schnieper P, Drewe J, et al. Safety of propofol for conscious sedation during endoscopic procedures in high-risk patients—a prospective, controlled study. Am J Gastroenterol. 2003;98:1751-1757
27. Radaelli F, Meucci G, Terruzzi V, et al. Single bolus of midazolam versus bolus midazolam plus meperidine for colonoscopy: a prospective, randomized, double-blind trial. Gastrointest Endosc. 2003;57:329-335
28. Ristikankare M, Julkunen R, Laitinen T, et al. Effect of conscious sedation on cardiac autonomic regulation during colonoscopy. Scand J Gastroenterol. 2000;35:990-996
29. Bright E, Roseveare C, Dalgleish D, et al. Patient-controlled sedation for colonoscopy: a randomized trial comparing patient-controlled administration of propofol and alfentanil with physician-administered midazolam and pethidine. Endoscopy. 2003;35:683-687