Document Detail

Colonoscopy without sedation.
MedLine Citation:
PMID:  14593540     Owner:  NLM     Status:  MEDLINE    
BACKGROUND/AIMS: In Turkey, colonoscopy is a procedure generally performed with intravenous sedation and analgesia. Most of the complications of colonoscopy are related to sedation. The aims of this study were to determine the percentage of patients who could successfully undergo nonsedated colonoscopy without sedation and to assess patient tolerance and acceptance. METHODS: The study included 120 consecutive patients undergoing colonoscopy by two endoscopists in our endoscopy unit. The procedure routinely began without sedation, which was later given (midazolam and hyoscine butylbromide) only if significant discomfort occurred. Parameters of blood pressure, oxygen saturation and heart rate were measured before and during colonoscopy. After the procedure patients were asked to rate their pain on a four point scale 1=no pain, 2=slight, 3=moderate, 4=severe and they were also asked if they would be willing to undergo colonoscopy again without sedation. RESULTS: Eighty eight percent of all colonoscopies were completed without sedation. Mean PaO2 was 96.46 in nonsedated patients and 93.90 (significant p<0.05) in sedated patients. No difference was found between blood pressure and pulse rate of nonsedated and sedated patients. The mean pain score was 2.0 for the nonsedated patients and 3.8 (significant p<0.05) for the sedated patients. Eighty eight percent of patients stated that they would be willing to undergo colonoscopy without sedation again. CONCLUSIONS: In experienced hands, colonoscopy without sedation can be completed successfully in most patients, without any complications and use of extra instrumentation.
Gazi Yörük; Kadir Aksöz; Belkis Unsal; Zafer Buyraç; Tahir Buran; Nafi Yazicioğlu; Cemal Yildiz; Hüseyin Cahit Yalçin
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology     Volume:  14     ISSN:  1300-4948     ISO Abbreviation:  Turk J Gastroenterol     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-10-31     Completed Date:  2003-12-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9515841     Medline TA:  Turk J Gastroenterol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  59-63     Citation Subset:  IM    
Department of Gastroenterology, Ataturk Teaching and Research Hospital, Izmir, Turkey.
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MeSH Terms
Aged, 80 and over
Analgesia / methods
Colonoscopy / methods*
Colorectal Neoplasms / diagnosis
Conscious Sedation / methods*
Middle Aged
Pain Measurement*
Patient Participation
Prospective Studies
Reference Values
Risk Assessment
Statistics, Nonparametric

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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