Consensus guidelines, Delphi methods, and evidence around anaesthetic technique for endoscopic retrograde cholangiopancreatography

Simon J Howell; Anthony R Absalom

doi:10.1016/j.bja.2023.07.001

Consensus guidelines, Delphi methods, and evidence around anaesthetic technique for endoscopic retrograde cholangiopancreatography

Br J Anaesth. 2023 Oct;131(4):634-636. doi: 10.1016/j.bja.2023.07.001.

Authors

Simon J Howell¹, Anthony R Absalom²

Affiliations

¹ Leeds Institute of Medical Research, University of Leeds, Leeds, UK. Electronic address: s.howell@leeds.ac.uk.
² Department of Anesthesiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.

PMID: 37718092
DOI: 10.1016/j.bja.2023.07.001

Abstract

Consensus guidelines on the anaesthetic management of endoscopic retrograde cholangiopancreatography (ERCP) have recently been published. The rigorous synthesis of expert opinion is invaluable when there are limited data, and these guidelines are a significant step forward. This review both guides practice and identifies important research questions. We challenge those working in this field to collaborate and produce the evidence for whether monitored anaesthesia care (MAC) is associated with a lower incidence of adverse events and better outcomes than general anaesthesia for ERCP.

Keywords: Delphi methods; consensus guidelines; endoscopic retrograde cholangiopancreatography; evidence-based medicine.

Publication types

Review
Editorial
Comment

MeSH terms

Anesthesia, General
Anesthesiology*
Anesthetics*
Cholangiopancreatography, Endoscopic Retrograde
Delphi Technique
Humans

Substances

Anesthetics