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Related Experiment Videos

Can the elderly tolerate endoscopy without sedation?

S A Solomon1, V K Kajla, A K Banerjee

  • 1Department of Medicine for the Elderly, Bolton General Hospital.

Journal of the Royal College of Physicians of London
|September 1, 1994
PubMed
Summary
This summary is machine-generated.

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Sedation may not be necessary for gastroscopy in elderly patients, as most found the procedure tolerable without it. Many preferred avoiding sedation due to recovery inconvenience, suggesting they should have the choice.

Area of Science:

  • Gastroenterology
  • Geriatric Medicine
  • Anesthesiology

Background:

  • Cardiopulmonary complications can arise from gastroscopy sedation.
  • Sedation management in elderly patients undergoing gastroscopy requires careful consideration.

Purpose of the Study:

  • To compare the tolerability of gastroscopy with and without sedation in elderly patients.
  • To evaluate elderly patients' preferences for future gastroscopy procedures regarding sedation.

Main Methods:

  • A questionnaire assessed patient-reported outcomes for gastroscopy performed with and without sedation.
  • Sixty-two elderly patients participated in the comparative tolerability study.

Main Results:

  • A similar proportion of sedated (63%) and unsedated (57%) patients found gastroscopy mildly unpleasant.

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  • 73% of unsedated patients preferred foregoing sedation in future procedures due to recovery time.

    • Conclusions:

    • Elderly patients can tolerate gastroscopy without sedation, and many prefer it.
    • Offering patients the choice of no sedation for gastroscopy is recommended.
    • Comprehensive pre-procedure counseling is crucial for managing anxiety in unsedated patients.