Affiliation
Department of Gastroenterology, Adelaide and Meath Hospital, Trinity College, Dublin, Dublin, Ireland. oconna12@tcd.ieIssue Date
2012-02-01T10:48:01ZMeSH
Analgesia, Patient-ControlledCost-Benefit Analysis
*Drug Therapy, Computer-Assisted/economics
Electroencephalography
Endoscopy, Gastrointestinal/economics/*methods
Humans
Hypnotics and Sedatives/*administration & dosage
Monitoring, Physiologic/methods
Propofol/*administration & dosage
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Show full item recordCitation
Digestion. 2010;82(2):124-6. Epub 2010 Apr 21.Journal
DigestionDOI
10.1159/000285698PubMed ID
20407263Abstract
The use of propofol for sedation in endoscopy may allow for better quality of sedation, quicker recovery and facilitate greater throughput in endoscopy units. The cost-effectiveness and utility of propofol sedation for endoscopic procedures is contingent on the personnel and resources required to carry out the procedure. Computer-based platforms are based on the patients response to stimulation and physiologic parameters. They offer an appealing means of delivering safe and effective doses of propofol. One such means is the bispectral index where continuous EEG recordings are used to assess the degree of sedation. Another is the closed-loop target-controlled system where a set of physical parameters, such as muscle relaxation and auditory-evoked potential, determine a level of medication appropriate to achieve sedation. Patient-controlled platforms may also be used. These electronic adjuncts may help endoscopists who wish to adopt propofol sedation to change current practices with greater confidence.Language
engISSN
1421-9867 (Electronic)0012-2823 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1159/000285698
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