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Small bowel II
PWE-131 Propofol deep sedation for small bowel enteroscopy in elderly patients in a world gastroenterology organising endoscopy training center in Thailand
  1. S Amornyotin,
  2. S Kongphlay
  1. Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Abstract

Introduction The aim of the study is to compare and evaluate the clinical efficacy of propofol deep sedation (PDS) for small bowel enteroscopy (SBE) procedure in elderly patients in a teaching hospital in Thailand.

Methods This study was a retrospective study. All SBE patients were classified into two groups by using age: group 1 (Age <65 years) and group GA (Age ≥65 years). The primary outcome variable of the study was the successful completion of the procedure. Failed procedure is defined as the procedure can not be completed by using PDS technique or sedation-related serious adverse events such as severe hypoxaemia, severe cardiorespiratory instability, are occurred. The secondary outcome variables were sedation-related complications, haemodynamic parameters and mortality rate.

Results 116 patients underwent SBE procedures by using PDS technique. Premedications were none before the procedure. After matching gender, weight, ASA physical status and indications of procedures, there were 45 patients in group 1 and 28 patients in group 2. There were no significant differences in gender, weight, height, ASA physical status and indications of procedures among the two groups. All procedures were successful completion but one in group 1. Mean dose of propofol, fentanyl and midazolam in both groups was comparable. There were no significant differences in the complication rate, mortality rate and haemodynamic parameters between the two groups.

Conclusion In the setting of developing country, PDS for SBE procedure in elderly patients by experienced anaesthesiologist with appropriate monitoring were relatively safe and effective. Sedation-related complications in elderly patients are relatively higher than in the younger patients, but not significantly different.

Competing interests None declared.

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