Liver Disease
Conditions
Keywords
Endoscopies, Liver diseases, Propofol, Midazolam and remifentanyl
Brief summary
This is a prospective, randomized-controlled trial (RCT) comparing the use of Propofol and Remifentanyl and traditional sedation (Midazolam and Fentanyl) for diagnostic colonoscopies in patients with compensated cirrhosis child A-B. The working hypothesis is that the use of propofol will be translated in a shorter recovery and discharge times with a higher patient satisfaction and a decrease in general complications (Hepatic Encephalopathy) in the context of patients with advanced liver disease.
Interventions
Intervention group (Propofol and remifentanyl): It will be administered under direct gastroenterologists' and hepatologist
Intervention group (Propofol and fentanyl ): It will be administered under direct gastroenterologists'and hepatologist
group (Midazolam with Fentanyl): Both drugs will be administered by the gastroenterologists and/ or hepatologist and/ or anesthiologist
Sponsors
Study design
Eligibility
Inclusion criteria
* Consecutive patients older than 18 and younger than 75 years with cirrhosis defined by the presence of liver fibrosis at least F3 and higher in the METAVIR score or with established cirrhosis (Child Pugh A, B)
Exclusion criteria
* Patients with significant cardiorespiratory disease i.e. advanced respiratory, renal and heart failure (ASA class III or higher except for patients with decompensate liver cirrhosis), obstructive sleep apnea. * HCC
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety and efficacy of propofol in liver diseases | up to 3 hours | At the end of each endoscopy |
Countries
Israel