Post written by Hadie Razjouyan, MD, MPH, and GIE Senior Associate Editor Jennifer L. Maranki, MD, MSc, FASGE, from the Division of Gastroenterology and Hepatology, Penn State Health, Hershey, Pennsylvania, USA. The focus of our study was the role, considerations, and safety of endoscopy in pregnant patients. Gastroenterologists are frequently consulted in the care of pregnant patients who present …
Tag: Anesthesia
General anesthesia and/or deep hypnotic state in propofol-based conscious sedation for endoscopy
Post written by Ala Sharara, MD, AGAF, FACG, FRCP, from the Division of Gastroenterology and Hepatology, American University of Beirut Medical Center, Beirut, Lebanon. The target sedation level for endoscopic procedures is conscious sedation. However, patients might progress to deeper levels of sedation, such as deep sedation and general anesthesia. To our knowledge, no study …
Implementation of an Enhanced Recovery After Surgical Endoscopy protocol to improve outcomes following endoscopic sleeve gastroplasty
Post written by Chelsea D’Ascanio, DNP, MS, CRNA, from Bariendo Inc and Brigham and Women’s Hospital, Boston, Massachusetts, USA. The focus of this pilot project was to implement an enhanced recovery perioperative protocol to reduce postoperative emergency department (ED) visits and readmissions because of postoperative nausea and vomiting (PONV) after endoscopic sleeve gastroplasty (ESG). One …
Randomized controlled trial of procedural sequence for same-day bidirectional endoscopy under monitored anesthesia care (RECoVER Trial)
Post written by Ali El Mokahal, MD, from the American University of Beirut, Beirut, Lebanon. In this study, we investigated the impact of procedural sequence during same-day bidirectional endoscopy conducted with the patient under monitored anesthesia care. Our primary outcome was the time to recovery from sedation. We also evaluated the amount of sedation administered, time …
Maximizing limited space: usefulness of percutaneous cricothyrotomy and super-soft hood for hypopharyngeal endoscopic submucosal dissection
Post written by Marc Julius H. Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, and the Section of Gastroenterology, Department of Medicine, Makati Medical Center, Makati City, Philippines. In this video, we present a case of en …
Incidence of sedation-related adverse events during ERCP with anesthesia assistance: a multicenter observational study
Post written by Linda C. Cummings, MD, from the Division of Gastroenterology and Liver Disease, Department of Medicine, University Hospitals Cleveland Medical Center, and the Department of Medicine, Case Western Reserve University School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA. Our study used anesthetic case data from a multicenter consortium to compare 2 …
Endotracheal anesthesia vs monitored anesthesia care and sedation-related adverse events during ERCP
Post written by Zachary L. Smith, DO, from the Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri, USA. The focus of this study was to evaluate the use of general endotracheal anesthesia (GEA) versus monitored anesthesia care (MAC) during ERCP in high-risk patients. Historically, our institution sedated the vast majority of patients …
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