Randomized controlled study of the safety and efficacy of nitrous oxide-sedated endoscopic ultrasound-guided fine needle aspiration for digestive tract diseases

World J Gastroenterol. 2016 Dec 14;22(46):10242-10248. doi: 10.3748/wjg.v22.i46.10242.

Abstract

Aim: To evaluate the efficacy and safety of nitrous oxide-sedated endoscopic ultrasound-guided fine needle aspiration.

Methods: Enrolled patients were divided randomly into an experimental group (inhalation of nitrous oxide) and a control group (inhalation of pure oxygen) and heart rate, blood oxygen saturation, blood pressure, electrocardiogram (ECG) changes, and the occurrence of complications were monitored and recorded. All patients and physicians completed satisfaction questionnaires about the examination and scored the process using a visual analog scale.

Results: There was no significant difference in heart rate, blood oxygen saturation, blood pressure, ECG changes, or complication rate between the two groups of patients (P > 0.05). However, patient and physician satisfaction were both significantly higher in the nitrous oxide compared with the control group (P < 0.05).

Conclusion: Nitrous oxide-sedation is a safe and effective option for patients undergoing endoscopic ultrasound-guided fine needle aspiration.

Keywords: Endoscopic ultrasonography; Fine needle aspiration; Nitrous oxide; Sedation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Anesthetics, Inhalation / therapeutic use*
  • Blood Pressure
  • Bradycardia / epidemiology
  • Conscious Sedation
  • Digestive System Diseases / pathology*
  • Electrocardiography
  • Endoscopic Ultrasound-Guided Fine Needle Aspiration / methods*
  • Heart Rate
  • Humans
  • Hypotension / epidemiology
  • Hypoxia / epidemiology
  • Intraoperative Complications / epidemiology*
  • Middle Aged
  • Nitrous Oxide / therapeutic use*
  • Patient Satisfaction
  • Tachycardia / epidemiology

Substances

  • Anesthetics, Inhalation
  • Nitrous Oxide