首页|Carbon dioxide insufflation during colonoscopy in deeply sedated patients

Carbon dioxide insufflation during colonoscopy in deeply sedated patients

扫码查看
原文链接
  • NETL
  • NSTL
  • 万方数据
  • 维普
AIM:To compare the impact of carbon dioxide (CO2) and air insufflation on patient tolerance/safety in deeply sedated patients undergoing colonoscopy.METHODS:Patients referred for colonoscopy were randomized to receive either CO2 or air insufflation during the procedure.Both the colonoscopist and patient were blinded to the type of gas used.During the procedure,insertion and withdrawal times,caecal intubation rates,total sedation given and capnography readings were recorded.The level of sedation and magnitude of patient discomfort during the procedure was assessed by a nurse using a visual analogue scale (VAS) (0-3).Patients then graded their level of discomfort and abdominal bloating using a similar VAS.Complications during and after the procedure were recorded.RESULTS:A total of 142 patients were randomized with 72 in the air arm and 70 in the CO2 arm.Mean age between the two study groups were similar.Insertion time to the caecum was quicker in the CO2 group at 7.3 min vs 9.9 min with air (P =0.0083).The average withdrawal times were not significantly different between the two groups.Caecal intubation rates were 94.4％ and 100％ in the air and CO2 groups respectively (P =0.012).The level of discomfort assessed by the nurse was 0.69 (air) and 0.39 (CO2) (P =0.0155) and by the patient 0.82 (air) and 0.46 (CO2) (P =0.0228).The level of abdominal bloating was 0.97 (air) and 0.36 (CO2) (P =0.001).Capnography readings trended to be higher in the CO2 group at the commencement,caecal intubation,and conclusion of the procedure,even though this was not significantly different when compared to readings obtained during air insufflation.There were no complications in both arms.CONCLUSION:CO2 insuffiation during colonoscopy is more efficacious than air,allowing quicker and better cecal intubation rates.Abdominal discomfort and bloating were significantly less with CO2 insufflation.

ColonoscopyCarbon dioxideAirInsufflationsPatient toleranceSafetyEfficacy

Rajvinder Singh、Eu Nice Neo、Nazree Nordeen、Ganesananthan Shanmuganathan、Angelie Ashby、Sharon Drummond、Garry Nind

展开 >

Division of Gastroenterology, Department of Medicine, Lyell McEwin Hospital, South Australia 5070, Australia

Department of Medicine, University of Adelaide, South Australia 5070, Australia

Colorectal Unit, Department of Surgery, Lyell McEwin Hospital, South Australia 5070, Australia

Pantai Hospital, Kuala Lumpur 50000, Malaysia

展开 >

2012

10.3748/wjg.v18.i25.3250

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.18(25)
  • 2
  • 9