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Endoscopy III
PWE-206 Propofol deep sedation for elderly patients: a comparison between EUS with or without fine needle aspiration procedure
  1. S Amornyotin,
  2. W Chalayonnawin,
  3. S Kongphlay
  1. Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

Abstract

Introduction The aim of this study was to evaluate and compare the clinical efficacy of propofol deep sedation (PDS) for elderly patients underwent EUS with or without fine needle aspiration (FNA) procedure in a teaching hospital in Thailand.

Methods We undertook a retrospective review of the sedation service records of patients who underwent EUS procedures from December 2006 and September 2009. All patients were classified into two groups according to the type of procedure. In group A, EUS was only done for diagnosis. In group B, EUS with FNA was done. The primary outcome variable of the study was overall complication rate. The secondary outcome variables were sedation and procedure-related complications during and immediately after the procedure and haemodynamic parameters.

Results PDS was provided for 513 patients. After matching age, gender, weight and ASA physical status, there were 47 patients in group A, and 40 patients in group B. There were no significantly differences in age, gender, weight, ASA physical status, mean sedative agents used, and indications of endoscopy between the two groups. However, duration of procedure in group B was significantly longer than in group A. All patients in both groups were concluded with the successful completion of the procedure. There were no significant differences in overall complication rate, sedation and procedure-related complications as well as haemodynamic parameters among the two groups. All complications were easily treated, with no adverse sequelae.

Conclusion PDS for EUS with or without FNA procedure in elderly patients by trained anaesthetic personnel with appropriate monitoring was relatively safe and effective. Complications in both groups were comparable. Serious complications were rare in our population.

Competing interests None declared.

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