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. 1993 Jan;27(1):16-8.

Oxygen desaturation during endoscopy in the elderly

S A Solomon  1 , T Isaac, A K Banerjee
Affiliations

Oxygen desaturation during endoscopy in the elderly

S A Solomon et al. J R Coll Physicians Lond. 1993 Jan.

Abstract

Arterial oxygen desaturation during oesophago-gastro duodenoscopy (OGD) is well recognised. It has been suggested that severe desaturation (greater than 7%) may predispose patients with cardiopulmonary disease and the elderly to cardiac arrhythmias. During OGD, of 106 elderly patients 26 developed ventricular and/or supraventricular ectopics, but these were not related to the degree of oxygen desaturation induced in this study. Apart from one episode of vasovagal syncope, which responded to intravenous atropine, no serious arrhythmias were recorded. Arterial oxygen desaturation during OGD was easily preventable with oxygen administration via nasal cannulae and was not associated with any adverse haemodynamic effects. Continuous cardiac and oxygen saturation monitoring should be routine practice in order to identify such problems.

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Comment in

  • Oxygen desaturation during endoscopy in the elderly.
    Langman MJ. Langman MJ. J R Coll Physicians Lond. 1993 Jul;27(3):336. J R Coll Physicians Lond. 1993. PMID: 8257538 Free PMC article. No abstract available.
  • Oxygen desaturation during endoscopy.
    Ismail A, Mellor JA. Ismail A, et al. J R Coll Physicians Lond. 1993 Jul;27(3):340. J R Coll Physicians Lond. 1993. PMID: 8377178 Free PMC article. No abstract available.
  • Risks of sedation in endoscopy.
    Day CJ. Day CJ. J R Coll Physicians Lond. 1993 Apr;27(2):200. J R Coll Physicians Lond. 1993. PMID: 8501687 Free PMC article. No abstract available.
  • Risks of sedation in endoscopy.
    Pereira SP, Hussaini SH, Sladen GE. Pereira SP, et al. J R Coll Physicians Lond. 1993 Apr;27(2):200. J R Coll Physicians Lond. 1993. PMID: 8501688 Free PMC article. No abstract available.

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