Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jul;11(3):147-151.
doi: 10.15171/mejdd.2019.141. Epub 2019 Jun 19.

Anesthesia Related Complications of Gastrointestinal Endoscopies; A Retrospective Descriptive Study

Ahmad Hormati  1   2 , Abolfazl Mohammadbeigi  3 , Seyed Mojtaba Mousavi  4 , Mohammad Saeidi  4 , Hamed Shafiee  4 , Reza Aminnejad  4
Affiliations

Anesthesia Related Complications of Gastrointestinal Endoscopies; A Retrospective Descriptive Study

Ahmad Hormati et al. Middle East J Dig Dis. 2019 Jul.

Abstract

BACKGROUND Gastrointestinal endoscopic procedures are widely used for diagnostic and therapeutic measures. Analgesia and sedation/anesthesia are inseparable parts of these studies and their related complications are inevitable. METHODS In a retrograde descriptive study in Shahid Beheshti Hospital, affiliated to Qom University of Medical Sciences, Qom, Iran from March 2013 to March 2017, we gathered information regarding common anesthesia related complications and analyzed them. RESULTS 44659 procedures were performed during the study period and records of 21342 men (47.79%) and 23317 women (52.21%) were evaluated. Hemodynamic instability (9998; 22.39%), dysrhythmia (1600; 3.58%), desaturation (608; 1.36%), prolonged apnea (34; 0.08%), aspiration (43; 0.10%), postoperative nausea and vomiting (PONV) (636; 1.42%), headache (106; 0.24%), delirium (51; 0.11%), aphasia (1; 0.00%), masseter muscle spasm (1; 0.01%), myocardial infarction (2; 0.00%), and death (5; 0.01%) were seen in the patients. CONCLUSION Sedation/anesthesia is enough safe in gastrointestinal endoscopic procedures to enhance the patients' satisfaction and cooperation. If anesthesia with spontaneous breathing and unsecure airway is selected for this purpose, vigilance of anesthesia provider will be the key element of uneventful and safe procedure.

Keywords: Analgesia; Anesthesia; Endoscopy; Patient Safety; Patient Satisfaction; Sedation.

PubMed Disclaimer

Conflict of interest statement

CONFLICT OF INTEREST The authors declare no conflict of interest related to this work.

Figures

Chart 1
Chart 1
See this image and copyright information in PMC

References

    1. Ferreira AO, Cravo M. Sedation in gastrointestinal endoscopy: Where are we at in 2014? World J Gastrointest Endosc. 2015;7:102–9. doi: 10.4253/wjge.v7.i2.102. - DOI - PMC - PubMed
    1. Solhpour A, Jafari A, Hashemi M, Hosseini B, Razavi S, Mohseni G. et al. A comparison of prophylactic use of meperidine, meperidine plus dexamethasone, and ketamine plus midazolam for preventing of shivering during spinal anesthesia: a randomized, double-blind, placebo-controlled study. J Clin Anesth. 2016;34:128–35. doi: 10.1016/j.jclinane.2016.03.036. - DOI - PubMed
    1. Levy I, Gralnek IM. Complications of diagnostic colonoscopy, upper endoscopy, and enteroscopy. Best Pract Res Clin Gastroenterol. 2016;30:705–18. doi: 10.1016/j.bpg.2016.09.005. - DOI - PubMed
    1. McQuaid KR, Laine L. A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures. Gastrointest Endosc. 2008;67:910–23. doi: 10.1016/j.gie.2007.12.046. - DOI - PubMed
    1. Moshiri E, Modir H, Yazdi B, Susanabadi A, Salehjafari N. Comparison of the effects of propofol and dexmedetomidine on controlled hypotension and bleeding during endoscopic sinus surgery. Ann Trop Med Public Health. 2017;10:721.

LinkOut - more resources