Cognition Disorders, Deep Sedation, Esophagogastroduodenoscopy
Conditions
Keywords
Esophagogastroduodenoscopy, Deep Sedation, Cognition Disorders, Patient Discharge, Automobile Driving
Brief summary
It is commonly recommended that patients should refrain from driving for 24 hours after sedation for endoscopy,however,this recommendation has been queried recently.To investigate the effect of sedation on early postoperative cognitive function in patients undergoing endoscopy.
Detailed description
One hundred adult patients undergoing sedative esophagogastroduodenoscopy ( EGD) were randomly recruited,and another 100 adult patients undergoing conventional(without sedation) EGD were served as controls. All patients had an education level more than 9 years. Cognitive function was assessed by Montreal Cognitive Assessment(MoCA)1 week before EGD exam, 10 mins before propofol sedation or the beginning of endoscopic procedure, 30mins after EGD exam, and 2 week after exam.
Interventions
patients in sedation group will be intravenous injected propofol in bolus
endoscopy system
Sponsors
Study design
Eligibility
Inclusion criteria
1. The scores of MMSE are more than 26. 2. The AHA grade I and II.
Exclusion criteria
1. The AHA grade III, IV or V. 2. binge drinking. 3. Take sedatives, sleeping agents and some drug which may affect the study in a month. 4. Psychiatric disorders. 5. The dysfunction of heart, lung, liver and kidney.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| DST test outcome measure | 30 minutes | the score of DST for each patient is not less than that in the baseline. |
| number cancellation test outcome measure | 30 minutes | the score of number cancellation test for each patient is not less than that in the baseline. |
| NCT-A test outcome measure | 30 minutes | the score of NCT-A test for each patient is not less than that in the baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| heart rate outcome measure | 5 minutes | heart rate less than 50 time per minute |
| SpO2 outcome measure | 5 minutes | SpO2 less than 90% |
Countries
China