Sedation by Non-Anesthesiologists During Endoscopic Procedures
Author Information
Author(s): Ishido Kenji, Tanabe Satoshi, Kitahara Gen, Furue Yasuaki, Wada Takuya, Watanabe Akinori, Matsuda Hiromi, Okamoto Hirotsugu, Kusano Chika
Primary Institution: Kitasato University School of Medicine
Hypothesis
The efficacy and safety of a sedation regimen combining dexmedetomidine and midazolam during endoscopic submucosal dissection for upper gastrointestinal tumors remains unclear.
Conclusion
A sedation regimen combining dexmedetomidine and midazolam can be feasibly administered by non-anesthesiologists.
Supporting Evidence
- All endoscopic submucosal dissection procedures were completed successfully.
- No severe sedation-related adverse events were reported.
- 44.1% of patients experienced hypotension, but all were managed effectively.
- All 22 non-anesthesiologists passed the proficiency evaluation.
- Sedation was administered under the supervision of anesthesiologists.
Takeaway
Doctors who aren't anesthesiologists can safely give patients sedation during certain procedures using a specific combination of medications.
Methodology
Retrospective evaluation of 68 patients sedated by non-anesthesiologists during endoscopic submucosal dissection.
Potential Biases
Potential selection bias due to the observational nature of the study.
Limitations
Single-center, retrospective study with no randomized controlled trials for comparison.
Participant Demographics
Median age of patients was 74 years, with a mix of superficial esophageal cancer, early gastric cancer, and gastric adenoma.
Statistical Information
P-Value
0.012
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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