Sarraj R, Theiler L, Vakilzadeh N, Krupka N, Wiest R. Propofol sedation in routine endoscopy: A case series comparing target controlled infusion vs manually controlled bolus concept. World J Gastrointest Endosc 2024; 16(1): 11-17 [PMID: 38313457 DOI: 10.4253/wjge.v16.i1.11]
Corresponding Author of This Article
Riad Sarraj, MD, Attending Doctor, Department of Visceral Surgery and Medicine, Inselspital University Hospital, Freiburgstrasse 18, Bern 3010, Switzerland. riad.sarraj@insel.ch
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
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World J Gastrointest Endosc. Jan 16, 2024; 16(1): 11-17 Published online Jan 16, 2024. doi: 10.4253/wjge.v16.i1.11
Table 1 Endoscopy list [n (%)]
Endoscopy
Bolus (n = 80)
TCI (n = 45)
Gastroscopy
7 (8.7)
3 (6.6)
Colonoscopy
18 (22.5)
9 (20.0)
Gastro/Colo
30 (37.5)
18 (40.0)
EUS
20 (25.0)
12 (26.7)
ERCP
5 (6.3)
3 (6.7)
Table 2 Number and percentage of adverse events [n (%)]
Bolus (n = 80)
TCI (n = 45)
P value
Total adverse events
21 (26.0)
11 (24.0)
0.95
Hypoxemia
3 (14.4)
4 (36.4)
Hypotension
10 (47.6)
5 (45.4)
Bradycardia
4 (19.0)
2 (18.2)
Tachycardia
4 (19.0)
0
Table 3 Subgroup analysis according to duration of endoscopy: Short endoscopy < 30 min
Variable (mean ± SD)
Bolus (n = 21)
TCI (n = 10)
Delta
P value
Induction time (min)
4.81 ± 1.67
5.8 ± 1.81
0.99
0.11
Total time (min)
20.62 ± 6.49
21 ± 4.71
0.38
0.65
Total dose (mg)
198.1 ± 69.19
204.4 ± 74.23
6.3
0.81
Dose/time (mg/min)
10.14 ± 3.25
9.87 ± 3.58
0.27
0.58
Table 4 Subgroup analysis according to duration of endoscopy: Long endoscopy > 60 min
Variable (mean ± SD)
Bolus (n = 13)
TCI (n = 9)
Delta
P value
Induction time (min)
6.08 ± 5.15
9.44 ± 3.50
3.36
< 0.01
Total time (min)
73.30 ± 14.29
69.89 ± 8.95
3.41
0.89
Total dose (mg)
656.15 ± 291.42
484.67 ± 200.02
71.48
0.27
Dose/time (mg/min)
8.94 ± 3.21
6.82 ± 2.44
2.12
0.08
Citation: Sarraj R, Theiler L, Vakilzadeh N, Krupka N, Wiest R. Propofol sedation in routine endoscopy: A case series comparing target controlled infusion vs manually controlled bolus concept. World J Gastrointest Endosc 2024; 16(1): 11-17