Pain management of patients referred for Colonoscopy and reduce their anxiety.
Conditions
Interventions
Intervention 1: The first intervention group: The group receiving Propofol Fentanyl for sedation during Colonoscopy. Intervention 2: Intervention group 2: The group receiving Propofol Ketamine for sed
Sponsors
Ahvaz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: They are between 18 and 65 years old Patients are referred for colonoscopy procedure Classification of Group 1 and 2 American Society of Anesthesiologists (ASA Class I & II) are selected as inclusion criteria.
Exclusion criteria
Exclusion criteria: the patient's unwillingness to participate in the study They are under 18 years old They are over 65 years old They have kidney failure They have liver failure They have chronic pain syndrome They are addicted They have any drug allergies They have cardiovascular disease They have a respiratory disease They have metabolic diseases They have a neurological disease They have difficult airways The patient is classified as ASA class 3 and 4 Contraindicated propofol ketamine or propofol fentanyl
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A score of 5 or 6 RAMSAY criteria in the questionnaire. RAMSAY sedation criteria including 6 scores is as follows: 1. Completely awake and anxious 2. Quiet and calm with enough cooperation 3. Asleep and wakes up with a verbal command 4. Asleep and woke up with mild stimulation, but gives a strong reaction to painful stimuli 5. Slow reaction to painful stimuli 6. Lack of reaction to painful stimuli. Timepoint: 5 minutes after the procedure, 10 minutes after the procedure, 15 minutes after the procedure. Method of measurement: Verbal measurement criteria. | — |
Secondary
| Measure | Time frame |
|---|---|
| The amount of pain. Timepoint: Start of procedure , end of procedure and one hour after the end of the procedure. Method of measurement: The Ambesh criterion, which includes the following four-point grading questions: 1. No pain: Negative answer to questions about having pain 2. Mild: Positive answers to questions about having pain, but without any physical symptoms 3. Medium: Positive answers to questions about having pain and the appearance of physical symptoms or successive complaints of pain 4. Intensity: The patient verbally complains of severe pain or shows pain with frowning and upset in the face or turning away with hand or expressing fear.;Recovery time. Timepoint: Recovery time is defined as fast (less than 5 minutes), medium (between 5 to 10 minutes) and slow (more than 15 minutes). Method of measurement: Patient's appropriate answers to questions.;Nausea. Timepoint: Every 5 minutes. Method of measurement: It is expressed by the person herself/himself.;Systolic blood pressure. Timepoint: Every 5 minutes. Method of measurement: Blood pressure monitor.;Diastolic blood pressure. Timepoint: Every 5 minutes. Method of measurement: Blood pressure monitor.;Heart beat. Timepoint: every 5 minutes. Method of measurement: Cardiac monitor.;Arterial blood oxygen saturation. Timepoint: Every 5 minutes. Method of measurement: Respiratory monitor. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactBaghbanian reza
Ahvaz University of Medical Sciences
Outcome results
None listed