Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Selective sedation for colonoscopy

F Seow-Choen1, A F Leong, C Tsang

  • 1Department of Colorectal Surgery, Singapore General Hospital.

Gastrointestinal Endoscopy
|November 1, 1994
PubMed
Summary

Selective sedation for colonoscopy offers benefits. Reversing sedation improved recall and patient preference for awareness during withdrawal, while many patients tolerated colonoscopy without sedation.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A new replacement name for Lonchodes fruhstorferi (Carl 1913).

Zootaxa·2024
Same author

Patient information leaflets for placebo-controlled surgical trials: a review of current practice and recommendations for developers.

Trials·2024
Same author

Comparison of the Physical Function Trajectories in Three Birth Cohorts of Chinese Older Adults: A 14-Year Longitudinal Study.

The journal of nutrition, health & aging·2023
Same author

Real-world treatment sequencing and survival in previously treated advanced renal cell carcinoma patients receiving nivolumab monotherapy: a UK retrospective cohort study.

BMC cancer·2022
Same author

Electronic collection of patient-reported outcomes following discharge after surgery: systematic review.

BJS open·2021
Same author

Comment on: Transanal total mesorectal excision for rectal cancer has been abandoned in Norway.

The British journal of surgery·2020

Area of Science:

  • Gastroenterology
  • Anesthesiology
  • Clinical Medicine

Background:

  • Intravenous sedation is common for colonoscopy.
  • Patient experience and recall during colonoscopy are areas for improvement.

Purpose of the Study:

  • To evaluate the impact of selective sedation reversal on patient experience during colonoscopy.
  • To assess the feasibility and patient acceptance of colonoscopy without routine pre-procedure sedation.

Main Methods:

  • Phase 1: Patients received intravenous sedation; randomized to flumazenil reversal or no reversal.
  • Phase 2: Patients underwent colonoscopy without pre-procedure sedation, receiving it only if needed.
  • Patient-reported pain, recall of findings, and preference for sedation were assessed.

Main Results:

  • Flumazenil reversal significantly improved recall of findings explanation.
  • A majority of patients preferred to be awake during colonoscope withdrawal.
  • In phase 2, most patients experienced minimal to no pain and preferred no prior sedation for future procedures.

Conclusions:

  • Selective sedation reversal can enhance patient recall and preference for awareness.
  • Colonoscopy without routine pre-procedure sedation is well-tolerated and preferred by many patients.
  • Tailoring sedation based on patient need may improve the colonoscopy experience.

Related Experiment Videos