[The sedation role in upper digestive endoscopy]

Area of Science:

• Gastroenterology
• Anesthesiology

Background:

• Upper digestive endoscopy is a common diagnostic procedure.
• Patient comfort and anxiety are significant factors influencing the procedure's success and patient satisfaction.

Purpose of the Study:

• To compare vital sign variations during endoscopy in sedated versus non-sedated patients.
• To evaluate patient anxiety, physician attitude, and patient satisfaction.
• To assess patient willingness to undergo repeat procedures under similar conditions.

Main Methods:

• A prospective, descriptive, double-blind, randomized comparative study.
• 197 patients undergoing upper digestive endoscopy were included.
• 101 patients received intravenous sedation, and 96 received local anesthesia.

Main Results:

• Sedation significantly reduced patient complaints, pain, nausea, and sensation of air (p<0.0001).
• Sedated patients exhibited decreased systolic and diastolic pressures (p<0.0001).
• Non-sedated patients experienced more difficulty during initial endoscope insertion (p<0.001).
• Physician appraisal was significantly better for sedated patients (p<0.015).

Conclusions:

• Intravenous sedation enhances upper digestive endoscopy for both patients and physicians.
• Sedation leads to improved patient well-being, reduced discomfort, and increased willingness to repeat the procedure.