Safety of Conscious Sedation in Patients Undergoing Endoscopic Retrograde Cholangio Pancreatography

J Coll Physicians Surg Pak. 2018 Dec;28(12):950-952. doi: 10.29271/jcpsp.2018.12.950.

Abstract

Objective: To assess the safety of conscious sedation in patients undergoing endoscopic retrograde cholangio pancreaticography (ERCP).

Study design: An observational study.

Place and duration of study: Department of Gastroenterology, Liaquat National Hospital, Karachi, from April 2010 to April 2015.

Methodology: All patients underwent ERCP procedure under midazolam and/or nalbuphine were included. Safety was assessed by monitoring the hemodynamics and complications during procedure till discharge from hospital. SPSS version 20 was used for descriptive analysis.

Results: A total of 550 procedures were enrolled for the study. The mean age of the patients was 50.85 ±15.66 years. There were 197 (35.8%) males. Out of 550 procedures, only 2 (0.4%) reported complications. The study reports a success rate of 531 (96.5%) procedures who underwent ERCP with conscious sedation. Only 19 (3.5%) cases could not be completed successfully under conscious sedation and were converted to general aneasthesia.

Conclusion: The present study shows that ERCP technique is safe under conscious sedation as it delivers balanced tranquillity.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Analgesics, Opioid
  • Cholangiopancreatography, Endoscopic Retrograde / adverse effects*
  • Conscious Sedation / adverse effects*
  • Female
  • Humans
  • Hypnotics and Sedatives
  • Intraoperative Complications / epidemiology*
  • Male
  • Midazolam
  • Middle Aged
  • Nalbuphine
  • Postoperative Complications / epidemiology*

Substances

  • Analgesics, Opioid
  • Hypnotics and Sedatives
  • Nalbuphine
  • Midazolam