Retrospective analysis of deep sedation in pediatric population for endoscopic procedures: adverse events and outcomes
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Abstract
Background: Upper gastrointestinal endoscopy (E) and colonoscopy (C) procedures are not well tolerated in pediatric population. General anesthesia or sedation applied during gastroendoscopic procedures. This study is done to review our sedation practice and to evaluate the clinical effectiveness and side effects of an anaesthesiologist administered deep sedation for gastroendoscopic procedures outside the operating room.
Methods: After Institutional Review Board Approval, the charts of all children who underwent endoscopic procedure at the outpatient endoscopy suite under sedation, (Jan 2011- December 2011) were reviewed retrospectively.
Results: Deep sedation was used in 301 procedures, which 255 were endoscopic and 23 were colonoscopic procedures. Twenty-three children had both procedures performed in one session. Demographic details: Age [year, mean]: 10,1±5,1, Gender (M/F): 152/149, Body weight [kg, (mean±SD )]: 35.7±18.7. Severe bradycardia with oxygen desaturation was recorded in two patients. All procedures were carried out successfully. Emergence delirium was seen in only one patient who was the substance user. No significant side effect derived from intervention was observed during the procedures, except one case (perforation of the colon).
Conclusion: Deep sedation applied by anesthesiologist found to be adequately safe and appropriate for children during gastroendoscopic procedures.
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