Moderate Sedation or Monitored Anesthesia Care for Colonoscopies: Is There a Difference?

To determine whether monitored anesthesia care (MAC) results in shorter colonoscopy time. A retrospective chart review from electronic medical records at Sentara Norfolk General Hospital was performed of all patients seen by the Eastern Virginia Medical School Department of Surgery who underwent a s...

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Bibliographic Details
Published in:The American surgeon 2018-08, Vol.84 (8), p.1284-1287
Main Authors: Ng, Matthew, Dhanani, Rahim, Galadima, Hadiza, Burgess, Jessica
Format: Article
Language:English
Subjects:
Anesthesia
Body mass index
Cecum
Colon
Colonoscopy
Colorectal cancer
Diagnostic systems
Electronic health records
Electronic medical records
Endoscopy
Insertion
Medical records
Patient satisfaction
Statistical analysis
Statistical significance
Surgeons
Surgery
Task forces
Variables
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Summary:To determine whether monitored anesthesia care (MAC) results in shorter colonoscopy time. A retrospective chart review from electronic medical records at Sentara Norfolk General Hospital was performed of all patients seen by the Eastern Virginia Medical School Department of Surgery who underwent a screening or diagnostic colonoscopy from December 2015 to July 2017. The primary end point is procedure time, with secondary end point of sedation time. There is a statistically significant difference in time to cecum between moderate sedation (MOD) and MAC (P = 0.002). Operator perceived difficulty is statistically associated with increased time to cecum (P < 0.0001). Time to cecum between MOD and MAC over the levels of difficulty was not significant (P = 0.403). A subanalysis looking at time to cecum between MOD and MAC for each level of difficulty showed a significant effect when difficulty was described as no difficulty. There is a statistically significant difference in time to scope insertion between MOD and MAC (P < 0.0001). Our data show that, taken as a conglomerate, the procedure and sedation time is shorter in MAC than in MOD. The use of MAC is associated with decrease time to scope insertion and overall time to cecum.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481808400837