Endoscopy
Conditions
Keywords
sedation, respiratory complications, ambulatory anesthesia
Brief summary
Various complications are the leading cause of morbidity in sedation practices in endoscopic procedures, and guidelines recommend continuous monitoring of circulation, respiratory function, and ventilation. Integrated Pulmonary Index (IPI), one of the methods that can be used in this monitoring, gives a single numerical value obtained by continuous and simultaneous joint mathematical analysis of Oxygen saturation, End-tidal carbon dioxide concentration, respiratory rate, and heart rate values and is a good monitorization in these interventions. and provides tracking. In this study, the aim is to determine the role of IPI in the diagnosis and follow-up of respiratory complications in patients who were sedated during gastroscopy procedures.
Detailed description
IPI EtCO2 is a monitoring method consisting of respiratory rate, SPO2 and heart rate parameters. While EtCO2 is measured with nasal capnography, SPO2, heart rate, respiratory rate are measured with finger probe and it will show instant measurement of respiratory status. IPI takes values between 1-10. An IPI value of 8 and above will indicate normal values, a value between 5-7 will indicate that the respiratory status of the patient should be carefully examined and intervened if necessary, values of 4 and below will definitely indicate that the patient's respiratory status should be intervened. Blood pressure measurement will be made with a sphingmomanometer noninvasively at certain time intervals with the help of a cuff that will be placed on the patient's arm area.
Interventions
PROCEDUREgastroscopy
anaesthetic management of ambulatory endoscopic procedures
Sponsors
Gaziosmanpasa Research and Education Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* ASA 1-2-3 risk scored patients, * patients over the age of 18 who will undergo endoscopic intervention
Exclusion criteria
* Patients who need mechanical ventilator support, * patients who need emergency endoscopic intervention, * patients with a history of substance abuse, * patients with a history of allergy to the drugs to be used, * pregnant women will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| respiratory complications comparing different sedative groups | Measurements will be in 4 time frames; before induction anesthesia, 5 minutes after the induction of sedation, 10 minutes after the induction, 5 minutes after the end of the procedure | Comparison of sedation safety and efficacy of Ketamine and Propofol and Remifentanil and Propofol administration to be applied to patients in endoscopy by using integrated pulmonary index (1-10) |
Countries
Turkey (Türkiye)
Contacts
Primary Contactsibel bektas, MD
Outcome results
None listed