Complicated endoscopic pediatric procedures using deep sedation and general anesthesia are safe in the endoscopy suite

Background: Complicated upper and lower endoscopic procedures of the gastrointestinal tract are performed in children for a variety of diagnostic and therapeutic reasons. Unlike adult patients, who receive conscious sedation, children usually require deep sedation (DS) or general anesthesia (GA). Th...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 2004-03, Vol.39 (3), p.283-286
Main Authors: Wengrower, D., Gozal, D., Gozal, Y., Meiri, Ch, Golan, I., Granot, E., Goldin, E.
Format: Article
Language:English
Subjects:
Adolescent
Ambulatory Care Facilities
Ambulatory Surgical Procedures - methods
Anesthesia, General
Biological and medical sciences
Child
Child, Preschool
Cholangiopancreatography, Endoscopic Retrograde - methods
Conscious Sedation
Deep sedation
endoscopy
Female
Foreign Bodies - surgery
Gastroenterology. Liver. Pancreas. Abdomen
Gastroscopy - methods
Gastrostomy - methods
general anesthesia
Humans
Infant
Infant, Newborn
Male
Medical sciences
pediatric
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Summary:Background: Complicated upper and lower endoscopic procedures of the gastrointestinal tract are performed in children for a variety of diagnostic and therapeutic reasons. Unlike adult patients, who receive conscious sedation, children usually require deep sedation (DS) or general anesthesia (GA). The aim of this study is to assess the safety parameters of complicated endoscopic procedures under DS or GA performed in children in the endoscopy suite rather than in the operating theatre. Methods: Between May 1997 and December 2002, 296 patients (mean age 4.5 years, range 3 weeks to 16 years), defined as ASA I-III, underwent either DS or GA for endoscopic foreign body extraction, endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous endoscopic gastrostomy (PEG) insertion. ASA physical status I was found in 15%, II in 57% and III in 28%. The pathologies included neuromuscular diseases, genetic syndromes, nesidioblastosis, biliary atresia, hematologic, respiratory (cystic fibrosis) and cardiac disorders. Propofol was the drug of choice (63%) followed by a combination of propofol and midazolam (16%). Results: Transient desaturation (O 2 saturation
ISSN:0036-5521
1502-7708
DOI:10.1080/00365520310008467