Publication: Safety Profile and Patient Satisfaction of the Routine use of Propofol in Gastrointestinal Endoscopy
Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Backgroud
Routine use of sedation in upper gastrointestinal endoscopy is uncommon
in Nepal. There is no study on use of propofol sedation in routine endoscopy
examination in Nepal. This study was conducted in order to assess the
patient satisfaction and safety profile in patient undergoing routine upper
GI endoscopic examination on outpatients.
Objective
To study safety profile and patient satisfaction of use of propofol in patients
undergoing upper GI endoscopy.
Method
A prospective, observational study was conducted in the endoscopy unit
of Dhulikhel hospital, Kathmandu University Hospital from July 2011 to
2012 July. Patients who were referred to upper GI endoscopy were offered
to sedation under propofol. Informed consent was taken after explaining
side effects, advantages and risk-benefit to the clients. The propofol was
administered by the endoscopy nurse under guidance and supervision of
the endoscopy performing physician.
Data were collected and analyzed using SPSS version 16.0 with 0.05 level
of significance.
Result
Total of 203 patients included in the study. Among 203 patients, 21. 2% were
males and 78.8% were females; 83.7% were of less than of 60 years age
and 16.3% above 60 years of age. The mean total dose of propofol required
was 136.08 ± 48.82 mg. Total of 29.1 % of cases required O2 administration
during the procedure time due to transient drop in O2 saturation. Total of
4.4% of cases required fluid administration due to transient fall in blood
pressure. Total of 68.0% of cases were completely sedated; 28.6% had minor
restless and 3.4% showed agitation during induction period of propofol
sedation. Total of 99.5% of patients reported pleasant experience while
0.5% reported unpleasant. Among 203 respondents, 98.5% responded
they would prefer to do the procedure under propofol sedation in the
future; 1.5% responded they did not want sedations in the future.
Conclusion
Upper GI endoscopy can safely be performed under propofol sedation
administered by registered trained nurse under the supervision of
endoscopist.
KEY WORD
Endoscopy, patient safety, patient satisfaction, propofol sedation
Description
Gurung RB1, Purbe B1, Malla B2, Dhungel A3, Yogol S3, Poudel A3, Kunwor K3, Byanju S3
1Department of Internal medicine
2Department of General Surgery
3Department of Nursing
Dhulikhel Hospital, Kathmandu University Hospital
Dhulikhel, Kavre, Nepal