Chang Kyun Lee, MD, Suck-Ho Lee, MD, Il-Kwun Chung, MD, Tae Hoon Lee, MD, Sang-Heum Park, MD, Eun-Ok Kim, RN, Sae Hwan Lee, MD, Hong-Soo Kim, MD, Sun-Joo.

Slides:

Advertisements

Similar presentations

Ketamine for Induction Use in the Prehospital Setting.

Advertisements

Midazolam Use in the Emergency Department

Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 05: Relieving Pain and Providing Comfort.

Sedation of Patients for Nuclear Medicine and Radiographic Procedures Susan Weiss, CNMT Radiation Safety Officer The Children’s Memorial Medical Center.

Procedural Sedation Pharmacology Deb Updegraff R.N., P.N.P, C.N.S. Clinical Nurse Specialist LPCH Pediatric Intensive Care Unit.

Contrasting Effects of Lixisenatide and Liraglutide on Postprandial Glycemic Control, Gastric Emptying, and Safety Parameters in Patients With Type 2 Diabetes.

Dexmedetomidine vs Midazolam for Sedation of Critically Ill Patients A Randomized Trial Journal Club 09/01/11 JAMA, February 4, 2009—Vol 301, No

Conscious Sedation. Sedation and Analgesia O “ A state that allows patients to tolerate unpleasant procedures while maintaining adequate cardiorespiratory.

Bridging Oral Anticoagulation with Low Molecular Weight Heparin: Experience in 367 Patients with Renal Insufficiency Heyder Omran, Giso von der Recke,

The Case 36 year-old female, ASA 1, under went an elective repeat caesarean section under spinal anesthesia using hyperbaric bupivacaine 15mg + fentanyl.

Pharmaceutical Economics Heng-Sim Lee RPh MS Director of Pharmacy, ChiaYi Branch, Taichung Veterans General Hospital Clinical Nutritional.

Design: A randomized, prospective, double-blind cohort followed for 16 weeks RenehaVis Original Study 50 DMW 50 HMW 50 LMW 50 Placebo.

2013 Advances in Inflammatory Bowel Diseases Hollywood, Florida December 12, 2013 Carol S. Brotherton, PhD, MSN, RN George Mason University, Fairfax, Virginia.

Gastrointestinal Review Highlights of the VIGOR Trial Lawrence Goldkind M.D.

Drugs in the Body (1) Recurrence Relations A patient is given an initial dose of 50mg of a drug. Each hour the patient is given a 20mg tablet of the.

Safety of Cyclooxygenase-2 (COX-2) inhibitors, Valdecoxib and Parecoxib, versus Placebo for Post CABG Pain Management Presented at American College of.

Fospropofol for sedation

Final Analysis of Overall Survival for the Phase III CONFIRM Trial: Fulvestrant 500 mg versus 250 mg Di Leo A et al. Proc SABCS 2012;Abstract S1-4.

Clinical Trial Results. org Increased Risk in Patients with High Platelet Aggregation Receiving Chronic Clopidogrel Therapy Undergoing Percutaneous Coronary.

APS. Investigators & Sites APS Background Study Hypotheses.

Efficacy and Safety of Canaglifozin, a Sodium- Glucose Cotransporter 2 Inhibitor, as Add-on to Insulin in Patients With Type 1 Diabetes Featured Article:

Analgesia and Sedation in Intervention Radiology

Critical Appraisal Topic Acquil Mohammad U. Alip, MD Resident Dept. of Anesthesiology UP-PGH Manila, Philippines.

Canagliflozin Compared With Sitagliptin for Patients With Type 2 Diabetes Who Do Not Have Adequate Glycemic Control With Metformin Plus Sulfonylurea A.

CR-1 Candesartan in HF Benefit/Risk James B. Young, MD Cleveland Clinic Foundation.

Endoscopic Sedation Todd H. Baron, MD, FASGE Chair, ASGE Standards of Practice Committee Professor of Medicine Div. Gastroenterology & Hepatology Mayo.

Tinzaparin vs Warfarin for Treatment of Acute Venous Thromboembolism in Patients With Active Cancer Agnes Y. Y. Lee, MD, MSc; Pieter W. Kamphuisen, MD,

Intrathecal Morphine Usage in Hepatobiliary Surgery Dr David Cosgrave Dr Era Soukhin Dr Anand Puttapa Dr Niamh Conlon.

Contents The role of endoscopy in pregnant patients

Maxim Mazanikov, MD, Marianne Udd, MD, PhD, Leena Kylänpää, MD, PhD, Outi Lindström, MD, Pekka Aho, MD, PhD, Jorma Halttunen, MD, PhD, Martti Färkkilä,

Nicholas Michael Kelly, MRCP (UK), MB, BCH, BAO,* Colin Rodgers, FRCP,* Neil Patterson, MD,* Sudheer George Jacob, MD,* and Inder Mainie, MDw J Clin Gastroenterol.

Edward S. Huang, MD, MPH, Sundip Karsan, MD, MPH, Fasiha Kanwal, MD, MSHS, Inder Singh, MD, Marc Makhani, MD, Brennan M. Spiegel, MD, MSHS Boston, Massachusetts;

Sedation during mechanical ventilation : A trial of benzodiazepine and opiate in combination Crit Care Med 2006 Vol. 34, No. 5 R2 이윤정 Paul S. Richman,

Cardiovascular and Gastrointestinal Outcomes in Clopidogrel Users on Proton Pump Inhibitors: Results of a Large Dutch Cohort Study 소화기 내과 R1 박지윤 Ofke S.

Ryonho Koh, MD,1 Kingo Hirasawa, MD,1 Sei Yahara, MD,1 Hiroyuki Oka, MD,1 Kazuya Sugimori, MD,1 Manabu Morimoto, MD,1 Kazushi Numata, MD,1 Atsushi Kokawa,

ADJUVANT CAPECITABINE AND OXALIPLATIN FOR GASTRIC CANCER AFTER D2 GASTRECTOMY (CLASSIC): A PHASE 3 OPEN-LABEL,RANDOMISED CONTROLLED TRIAL Yung-Jue Bang*,

F1 이운주.  May be defined as a drug-induced depression  Purpose to relieve patient anxiety and discomfort to improve the outcome of the examination to.

Cardiovascular Disease and Antihypertensives The RENAAL Trial Reference Brunner BM, and the RENAAL study group. Effects of losartan on renal and cardiovascular.

International Neurourology Journal 2015;19:

Emanuele Asti, MD, FACS, Andrea Lovece, MD, Luigi Bonavina, MD, FACS

Journal conference Factors influencing development of pain after gastric endoscopic submucosal dissection: a randomized controlled trial Endoscopy.

Cost effectiveness of COX 2 selective inhibitors and traditional NSAIDs alone or in combination with a proton pump inhibitor for people with osteoarthritis.

Bedside monitoring to adjust antiplatelet therapy for Coronary stenting N Engl J Med Nov 29;367: Prof. Soo-Joong Kim / R3 Yu Ho Lee.

PCI related in-hospital mortality based on race and gender in the USA

Alcohol, Other Drugs, and Health: Current Evidence

Neal B, et al. Diabetes Care 2015;38:403–411

Assign membership into BFO/OBI branches

Conscious Sedation March, 2012.

The Nursing Process and Pharmacology Jeanelle F. Jimenez RN, BSN, CCRN

This program will include a discussion of off-label treatment and devices and investigational agents and devices not approved by the FDA for use in the.

The Safety and Efficacy of Full vs

Up to Date on Which NOAC for Which Patient

Diabetes Journal Club Julie Shah.

Geir Smedslund, Ph.D.: Diakonhjemmet Hospital (DH)

Elizabeth Rodman, PharmD

Diabetes mellitus in patients undergoing percutaneous drug-eluting stent implantation: short and long-term results Claudio Moretti, M.D. Division of Cardiology,

Etomidate versus propofol sedation for complex upper endoscopic procedures: a prospective double-blinded randomized controlled trial Mi Gang Kim, MD,

Sa1297 PREVALENCE AND PREDICTORS OF UNNECESSARY ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN THE TWO-STAGE ENDOSCOPIC STONE EXTRACTION FOLLOWED.

American Heart Association Presented by Dr. Julinda Mehilli

Efficacy of carbon dioxide insufflation during gastric endoscopic submucosal dissection: a randomized, double-blind, controlled, prospective study Su.

Metal versus plastic stents for drainage of malignant biliary obstruction before primary surgical resection Tae Jun Song, MD, PhD, Jae Hoon Lee, MD,

Hexabrix Key Clinical Review Le Feuvre, 2006

1 Verstovsek S et al. Proc ASH 2012;Abstract Cervantes F et al.

Flow of Patients Through Trial

NON VOLATILE ANESTHETIC AGENTS( Intravenous Anesthetics)

Endoscopic sleeve gastroplasty for obesity: defining the risk and reward after more than 1600 procedures Andrew C. Storm, MD, Barham K. Abu Dayyeh, MD,

Gavin C. Harewood, MD, FRCPI, MSc Gastrointestinal Endoscopy

Subcutaneous Methylnaltrexone for the Treatment of Opioid-Induced Constipation in Patients with Advanced Illness: A Double-Blind, Randomized, Parallel.

ERCP for the Diagnosis and Management of PSC

Late-Breaking Data on LDL-C Reduction

Presentation transcript:

Chang Kyun Lee, MD, Suck-Ho Lee, MD, Il-Kwun Chung, MD, Tae Hoon Lee, MD, Sang-Heum Park, MD, Eun-Ok Kim, RN, Sae Hwan Lee, MD, Hong-Soo Kim, MD, Sun-Joo Kim, MD GASTROINTESTINAL ENDOSCOPY Volume 73, No. 2 : 2011 소화기내과 R3. 고원진 Balanced propofol sedation for therapeutic GI endoscopic procedures Journal conference

Propofol sedation for GI endoscopy has become popular worldwide. However, propofol monosedation is not risk free with interventional endoscopy.  Propofol sedation for GI endoscopy remains a highly controversial issue Balanced propofol sedation (BPS) Combines small incremental doses of propofol with single induction doses of benzodiazepines and opioids Background

Purpose In patients undergoing therapeutic GI endoscopic procedures Conventional group : Midazolam + Meperidine BPS group : Midazolam + Meperidine + Propofol VSVS

PATIENTS AND METHODS

Sedation protocols - The conventional group Midazolam (0.05mg/kg body weight)  Meperidine 25 mg  Repeated doses of 1 to 2 mg midazolam - The BPS group Both midazolam and meperidine were given in the same manner  Propofol (0.5 mg/kg body weight)  Repeated doses of 10 to 20 mg propofol PATIENTS AND METHODS

Outcome measurements and definitions - The primary outcomes 1) Cardiopulmonary complications 2) The frequency of interruption of the procedures - Secondary outcomes 1) procedure-related times 2) Postprocedure assessment PATIENTS AND METHODS

Results 1)Study population and baseline characteristics 2)Mean total dose of drugs used and procedure- related times Safety profiles 3)Safety profiles 4)Postprocedure assessment

Study population and baseline characteristics

Mean total dose of drugs used and procedure-related times Safety profiles

Safety profiles

Postprocedure assessment

BPS provided higher health care provider satisfaction, better patient cooperation, and similar adverse event profiles in patients undergoing therapeutic endoscopic procedures. Conclusion