Current sedation and monitoring practice for colonoscopy

An international observational study (EPAGE)

Florian Froehlich, J. K. Harris, V. Wietlisbach, B. Burnand, J. P. Vader, J. J. Gonvers, J. Afonso-Debourse, J. C. Audigier, C. Barthélemy, C. Benoni, J. Bures, P. Bytzer, S. Chaussade, K. Deinert, R. D'Incà, O. Dumas, V. F. Eckardt, F. T. Fork, R. Fried, M. Gaudric & 36 others L. Gerbaud, S. Gianni, R. Gnauck, H. J. Gyrtrup, J. M. Hansen, R. J. Hilsden, J. Hoch, R. Keil, M. Kohut, M. Le Corguillé, P. Matzen, G. Meucci, G. Minoli, P. Moayyedi, H. Neuhaus, A. Nowak, S. O'Mahony, G. Payeras, J. P. Piqueras, J. F. Rey, J. P. Rey, S. Rejchrt, J. Ridpath, T. Romanczyk, M. A. Saez, S. Sahm, S. Sato, B. Saunders, P. Schmidt, B. Schumacher, J. Schwarz, M. Siroky, G. C. Sturniolo, D. Swain, E. Tóth, M. Vance

Research output: Contribution to journalArticle

82 Citations (Scopus)

Abstract

Background and Study Aims: Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internationally. Patients and Methods: This observational study included consecutive patients referred for colonoscopy at 21 centers in 11 countries. Endoscopists reported sedation and monitoring practice, using a standard questionnaire for each patient. Results: 6004 patients were included in this study, of whom 53% received conscious/moderate sedation during colonoscopy, 30% received deep sedation, and 17% received no sedation. Sedation agents most commonly used were midazolam (47%) and opioids (33%). Pulse oximetry was done during colonoscopy in 77% of patients, blood pressure monitoring in 34%, and electrocardiography in 24%. Pulse oximetry was most commonly used for moderately sedated patients, while blood pressure monitoring and electrocardiography were used predominantly for deeply sedated patients. Sedation and monitoring use ranged from 0% to 100% between centers. Oxygen desaturation (≤85%) occurred in 5% of patients, of whom 80% were moderately sedated. On average, three staff members were involved in procedures. An anesthesiologist was present during 27% of colonoscopies, and during 85% of colonoscopies using deep sedation. Conclusions: Internationally, sedation and monitoring practice during colonoscopy varied widely. Moderate sedation was the most common sedation method used and electronic monitoring was used in three-quarters of patients. Deep sedation tended to be more resource-intensive, implying a greater use of staff and monitoring.

Original languageEnglish
Pages (from-to)461-469
Number of pages9
JournalEndoscopy
Volume38
Issue number5
DOIs
Publication statusPublished - May 2006

Fingerprint

Colonoscopy
Observational Studies
Deep Sedation
Conscious Sedation
Oximetry
Electrocardiography
Blood Pressure
Quality of Health Care
Midazolam
Opioid Analgesics
Endoscopy
Oxygen

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Froehlich, F., Harris, J. K., Wietlisbach, V., Burnand, B., Vader, J. P., Gonvers, J. J., ... Vance, M. (2006). Current sedation and monitoring practice for colonoscopy: An international observational study (EPAGE). Endoscopy, 38(5), 461-469. https://doi.org/10.1055/s-2006-925368

Current sedation and monitoring practice for colonoscopy : An international observational study (EPAGE). / Froehlich, Florian; Harris, J. K.; Wietlisbach, V.; Burnand, B.; Vader, J. P.; Gonvers, J. J.; Afonso-Debourse, J.; Audigier, J. C.; Barthélemy, C.; Benoni, C.; Bures, J.; Bytzer, P.; Chaussade, S.; Deinert, K.; D'Incà, R.; Dumas, O.; Eckardt, V. F.; Fork, F. T.; Fried, R.; Gaudric, M.; Gerbaud, L.; Gianni, S.; Gnauck, R.; Gyrtrup, H. J.; Hansen, J. M.; Hilsden, R. J.; Hoch, J.; Keil, R.; Kohut, M.; Le Corguillé, M.; Matzen, P.; Meucci, G.; Minoli, G.; Moayyedi, P.; Neuhaus, H.; Nowak, A.; O'Mahony, S.; Payeras, G.; Piqueras, J. P.; Rey, J. F.; Rey, J. P.; Rejchrt, S.; Ridpath, J.; Romanczyk, T.; Saez, M. A.; Sahm, S.; Sato, S.; Saunders, B.; Schmidt, P.; Schumacher, B.; Schwarz, J.; Siroky, M.; Sturniolo, G. C.; Swain, D.; Tóth, E.; Vance, M.

In: Endoscopy, Vol. 38, No. 5, 05.2006, p. 461-469.

Research output: Contribution to journalArticle

Froehlich, F, Harris, JK, Wietlisbach, V, Burnand, B, Vader, JP, Gonvers, JJ, Afonso-Debourse, J, Audigier, JC, Barthélemy, C, Benoni, C, Bures, J, Bytzer, P, Chaussade, S, Deinert, K, D'Incà, R, Dumas, O, Eckardt, VF, Fork, FT, Fried, R, Gaudric, M, Gerbaud, L, Gianni, S, Gnauck, R, Gyrtrup, HJ, Hansen, JM, Hilsden, RJ, Hoch, J, Keil, R, Kohut, M, Le Corguillé, M, Matzen, P, Meucci, G, Minoli, G, Moayyedi, P, Neuhaus, H, Nowak, A, O'Mahony, S, Payeras, G, Piqueras, JP, Rey, JF, Rey, JP, Rejchrt, S, Ridpath, J, Romanczyk, T, Saez, MA, Sahm, S, Sato, S, Saunders, B, Schmidt, P, Schumacher, B, Schwarz, J, Siroky, M, Sturniolo, GC, Swain, D, Tóth, E & Vance, M 2006, 'Current sedation and monitoring practice for colonoscopy: An international observational study (EPAGE)', Endoscopy, vol. 38, no. 5, pp. 461-469. https://doi.org/10.1055/s-2006-925368
Froehlich F, Harris JK, Wietlisbach V, Burnand B, Vader JP, Gonvers JJ et al. Current sedation and monitoring practice for colonoscopy: An international observational study (EPAGE). Endoscopy. 2006 May;38(5):461-469. https://doi.org/10.1055/s-2006-925368
Froehlich, Florian ; Harris, J. K. ; Wietlisbach, V. ; Burnand, B. ; Vader, J. P. ; Gonvers, J. J. ; Afonso-Debourse, J. ; Audigier, J. C. ; Barthélemy, C. ; Benoni, C. ; Bures, J. ; Bytzer, P. ; Chaussade, S. ; Deinert, K. ; D'Incà, R. ; Dumas, O. ; Eckardt, V. F. ; Fork, F. T. ; Fried, R. ; Gaudric, M. ; Gerbaud, L. ; Gianni, S. ; Gnauck, R. ; Gyrtrup, H. J. ; Hansen, J. M. ; Hilsden, R. J. ; Hoch, J. ; Keil, R. ; Kohut, M. ; Le Corguillé, M. ; Matzen, P. ; Meucci, G. ; Minoli, G. ; Moayyedi, P. ; Neuhaus, H. ; Nowak, A. ; O'Mahony, S. ; Payeras, G. ; Piqueras, J. P. ; Rey, J. F. ; Rey, J. P. ; Rejchrt, S. ; Ridpath, J. ; Romanczyk, T. ; Saez, M. A. ; Sahm, S. ; Sato, S. ; Saunders, B. ; Schmidt, P. ; Schumacher, B. ; Schwarz, J. ; Siroky, M. ; Sturniolo, G. C. ; Swain, D. ; Tóth, E. ; Vance, M. / Current sedation and monitoring practice for colonoscopy : An international observational study (EPAGE). In: Endoscopy. 2006 ; Vol. 38, No. 5. pp. 461-469.
@article{558740e8243a406981501aeeb977a762,
title = "Current sedation and monitoring practice for colonoscopy: An international observational study (EPAGE)",
abstract = "Background and Study Aims: Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internationally. Patients and Methods: This observational study included consecutive patients referred for colonoscopy at 21 centers in 11 countries. Endoscopists reported sedation and monitoring practice, using a standard questionnaire for each patient. Results: 6004 patients were included in this study, of whom 53{\%} received conscious/moderate sedation during colonoscopy, 30{\%} received deep sedation, and 17{\%} received no sedation. Sedation agents most commonly used were midazolam (47{\%}) and opioids (33{\%}). Pulse oximetry was done during colonoscopy in 77{\%} of patients, blood pressure monitoring in 34{\%}, and electrocardiography in 24{\%}. Pulse oximetry was most commonly used for moderately sedated patients, while blood pressure monitoring and electrocardiography were used predominantly for deeply sedated patients. Sedation and monitoring use ranged from 0{\%} to 100{\%} between centers. Oxygen desaturation (≤85{\%}) occurred in 5{\%} of patients, of whom 80{\%} were moderately sedated. On average, three staff members were involved in procedures. An anesthesiologist was present during 27{\%} of colonoscopies, and during 85{\%} of colonoscopies using deep sedation. Conclusions: Internationally, sedation and monitoring practice during colonoscopy varied widely. Moderate sedation was the most common sedation method used and electronic monitoring was used in three-quarters of patients. Deep sedation tended to be more resource-intensive, implying a greater use of staff and monitoring.",
author = "Florian Froehlich and Harris, {J. K.} and V. Wietlisbach and B. Burnand and Vader, {J. P.} and Gonvers, {J. J.} and J. Afonso-Debourse and Audigier, {J. C.} and C. Barth{\'e}lemy and C. Benoni and J. Bures and P. Bytzer and S. Chaussade and K. Deinert and R. D'Inc{\`a} and O. Dumas and Eckardt, {V. F.} and Fork, {F. T.} and R. Fried and M. Gaudric and L. Gerbaud and S. Gianni and R. Gnauck and Gyrtrup, {H. J.} and Hansen, {J. M.} and Hilsden, {R. J.} and J. Hoch and R. Keil and M. Kohut and {Le Corguill{\'e}}, M. and P. Matzen and G. Meucci and G. Minoli and P. Moayyedi and H. Neuhaus and A. Nowak and S. O'Mahony and G. Payeras and Piqueras, {J. P.} and Rey, {J. F.} and Rey, {J. P.} and S. Rejchrt and J. Ridpath and T. Romanczyk and Saez, {M. A.} and S. Sahm and S. Sato and B. Saunders and P. Schmidt and B. Schumacher and J. Schwarz and M. Siroky and Sturniolo, {G. C.} and D. Swain and E. T{\'o}th and M. Vance",
year = "2006",
month = "5",
doi = "10.1055/s-2006-925368",
language = "English",
volume = "38",
pages = "461--469",
journal = "Endoscopy",
issn = "0013-726X",
publisher = "Georg Thieme Verlag",
number = "5",

}

TY - JOUR

T1 - Current sedation and monitoring practice for colonoscopy

T2 - An international observational study (EPAGE)

AU - Froehlich, Florian

AU - Harris, J. K.

AU - Wietlisbach, V.

AU - Burnand, B.

AU - Vader, J. P.

AU - Gonvers, J. J.

AU - Afonso-Debourse, J.

AU - Audigier, J. C.

AU - Barthélemy, C.

AU - Benoni, C.

AU - Bures, J.

AU - Bytzer, P.

AU - Chaussade, S.

AU - Deinert, K.

AU - D'Incà, R.

AU - Dumas, O.

AU - Eckardt, V. F.

AU - Fork, F. T.

AU - Fried, R.

AU - Gaudric, M.

AU - Gerbaud, L.

AU - Gianni, S.

AU - Gnauck, R.

AU - Gyrtrup, H. J.

AU - Hansen, J. M.

AU - Hilsden, R. J.

AU - Hoch, J.

AU - Keil, R.

AU - Kohut, M.

AU - Le Corguillé, M.

AU - Matzen, P.

AU - Meucci, G.

AU - Minoli, G.

AU - Moayyedi, P.

AU - Neuhaus, H.

AU - Nowak, A.

AU - O'Mahony, S.

AU - Payeras, G.

AU - Piqueras, J. P.

AU - Rey, J. F.

AU - Rey, J. P.

AU - Rejchrt, S.

AU - Ridpath, J.

AU - Romanczyk, T.

AU - Saez, M. A.

AU - Sahm, S.

AU - Sato, S.

AU - Saunders, B.

AU - Schmidt, P.

AU - Schumacher, B.

AU - Schwarz, J.

AU - Siroky, M.

AU - Sturniolo, G. C.

AU - Swain, D.

AU - Tóth, E.

AU - Vance, M.

PY - 2006/5

Y1 - 2006/5

N2 - Background and Study Aims: Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internationally. Patients and Methods: This observational study included consecutive patients referred for colonoscopy at 21 centers in 11 countries. Endoscopists reported sedation and monitoring practice, using a standard questionnaire for each patient. Results: 6004 patients were included in this study, of whom 53% received conscious/moderate sedation during colonoscopy, 30% received deep sedation, and 17% received no sedation. Sedation agents most commonly used were midazolam (47%) and opioids (33%). Pulse oximetry was done during colonoscopy in 77% of patients, blood pressure monitoring in 34%, and electrocardiography in 24%. Pulse oximetry was most commonly used for moderately sedated patients, while blood pressure monitoring and electrocardiography were used predominantly for deeply sedated patients. Sedation and monitoring use ranged from 0% to 100% between centers. Oxygen desaturation (≤85%) occurred in 5% of patients, of whom 80% were moderately sedated. On average, three staff members were involved in procedures. An anesthesiologist was present during 27% of colonoscopies, and during 85% of colonoscopies using deep sedation. Conclusions: Internationally, sedation and monitoring practice during colonoscopy varied widely. Moderate sedation was the most common sedation method used and electronic monitoring was used in three-quarters of patients. Deep sedation tended to be more resource-intensive, implying a greater use of staff and monitoring.

AB - Background and Study Aims: Sedation and monitoring practice during colonoscopy varies between centers and over time. Knowledge of current practice is needed to ensure quality of care and help focus future research. The objective of this study was to examine sedation and monitoring practice in endoscopy centers internationally. Patients and Methods: This observational study included consecutive patients referred for colonoscopy at 21 centers in 11 countries. Endoscopists reported sedation and monitoring practice, using a standard questionnaire for each patient. Results: 6004 patients were included in this study, of whom 53% received conscious/moderate sedation during colonoscopy, 30% received deep sedation, and 17% received no sedation. Sedation agents most commonly used were midazolam (47%) and opioids (33%). Pulse oximetry was done during colonoscopy in 77% of patients, blood pressure monitoring in 34%, and electrocardiography in 24%. Pulse oximetry was most commonly used for moderately sedated patients, while blood pressure monitoring and electrocardiography were used predominantly for deeply sedated patients. Sedation and monitoring use ranged from 0% to 100% between centers. Oxygen desaturation (≤85%) occurred in 5% of patients, of whom 80% were moderately sedated. On average, three staff members were involved in procedures. An anesthesiologist was present during 27% of colonoscopies, and during 85% of colonoscopies using deep sedation. Conclusions: Internationally, sedation and monitoring practice during colonoscopy varied widely. Moderate sedation was the most common sedation method used and electronic monitoring was used in three-quarters of patients. Deep sedation tended to be more resource-intensive, implying a greater use of staff and monitoring.

UR - http://www.scopus.com/inward/record.url?scp=33646726930&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33646726930&partnerID=8YFLogxK

U2 - 10.1055/s-2006-925368

DO - 10.1055/s-2006-925368

M3 - Article

VL - 38

SP - 461

EP - 469

JO - Endoscopy

JF - Endoscopy

SN - 0013-726X

IS - 5

ER -