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Propofol sedation for endoscopic procedures in children
Y Elitsur1, P Blankenship, Z Lawrence
1Dept of Pediatrics, Marshall University, School of Medicine, Huntington, West Virginia 25701-0195, USA. elitsur@marshall.edu
Insights
Propofol sedation is safe and effective for pediatric gastrointestinal endoscopy. This study found it well-tolerated, with most children experiencing post-procedure amnesia, making it a suitable option for anxious young patients.
Area of Science:
- Pediatric Gastroenterology
- Anesthesiology
- Sedation Management
Background:
- Propofol is widely used for pediatric procedural sedation.
- Data on propofol for pediatric gastrointestinal endoscopy is limited.
- This study evaluates propofol use in this specific pediatric population.
Purpose of the Study:
- To assess the safety and efficacy of propofol sedation for pediatric gastrointestinal endoscopic procedures.
- To evaluate patient outcomes and experiences with propofol sedation.
Main Methods:
- Retrospective chart review of children undergoing endoscopic procedures with propofol sedation.
- Data collected included demographics, monitoring, and drug dosages.
- Sedation efficacy was assessed via patient questionnaires.
Main Results:
- 104 children underwent 107 procedures with propofol (alone or combined with midazolam/fentanyl).
- All procedures were completed with only one significant complication.
- High patient satisfaction and post-procedure amnesia were reported.
Conclusions:
- Propofol sedation is a safe and acceptable option for pediatric gastrointestinal endoscopy.
- Consider propofol for young, anxious children undergoing these procedures.
Background And Study Aims:
Propofol sedation has been used successfully in various outpatient minor procedures in children. Limited data are available on the usefulness of propofol sedation during gastrointestinal endoscopic procedures in children. The aim of this study was to evaluate our experience of propofol sedation in pediatric gastrointestinal endoscopic procedures.
Materials And Methods:
The charts of all children who had undergone diagnostic endoscopic procedures, and were sedated by propofol, were retrospectively reviewed. Demographic data, cardiovascular monitoring, and drug dosages were recorded. Patients evaluated their sedation efficacy by answering a questionnaire before discharge.
Results:
A total of 104 children underwent 107 procedures. Propofol alone was given in 19 procedures and in combination with midazolam and/or fentanyl in 88 procedures. All procedures were completed and significant complication occurred in only one patient. No significant difference was observed in the amount of sedative drugs or recovery time between upper and lower endoscopic procedures. A lower propofol dosage was needed when a combination of drugs was given compared to propofol drug alone. Patients' assessment of their sedation showed that the vast majority had experienced postendoscopic amnesia.
Conclusion:
Propofol sedation for endoscopic procedures is safe and acceptable for children. Propofol sedation should be offered to young children, especially those who express significant anxiety.