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Patient satisfaction after endoscopic submucosal dissection under propofol-based sedation: a small premedication makes all the difference
DC Field | Value | Language |
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dc.contributor.author | 신서경 | - |
dc.contributor.author | 유영철 | - |
dc.contributor.author | 이상길 | - |
dc.date.accessioned | 2018-07-20T07:31:40Z | - |
dc.date.available | 2018-07-20T07:31:40Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 0930-2794 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/160258 | - |
dc.description.abstract | BACKGROUND: Ideal sedation for endoscopic submucosal dissection (ESD) aims to satisfy both the endoscopist and patient. However, previous studies show that a satisfactory procedure for the endoscopist does not equal higher patient satisfaction. This study attempted to find a sedation protocol that is able to increase patient satisfaction during propofol-based sedation by adding low-dose midazolam as premedication. METHODS: Seventy-two adult patients were randomly allocated to receive either 0.02 mg/kg midazolam (Midazolam Group) or placebo (Control Group) as premedication before ESD. Sedation was done by targeting Modified Observer's Assessment of Alertness/Sedation (MOAA/S) scale of 3 or 4 with continuous propofol infusion and bolus doses of fentanyl. Satisfaction scores of the endoscopists and patients, and whether the patient was willing to receive the same sedation method in the future was assessed. Interim analysis was done after enrollment of 50 % of patients. RESULTS: This study was prematurely terminated when interim analysis showed that patients willing to receive the same sedation method in the future were significantly lower in the Control Group compared to the Midazolam Group (P = 0.001). There was no difference in sedation time, procedure and recovery time, drug requirements and adverse events between the two groups. Endoscopist and overall patient satisfaction scores, patient pain scores and degree of recall were also similar between groups. CONCLUSIONS: A small dose of midazolam given as premedication before propofol-based sedation is able to reduce patient reluctance to repeat the same procedure in the future, without affecting procedural performance, recovery time or endoscopist satisfaction. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer | - |
dc.relation.isPartOf | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adenoma/surgery* | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Anesthetics, Intravenous/therapeutic use | - |
dc.subject.MESH | Carcinoma/surgery* | - |
dc.subject.MESH | Conscious Sedation/methods | - |
dc.subject.MESH | Endoscopic Mucosal Resection/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fentanyl/therapeutic use | - |
dc.subject.MESH | Gastroscopy/methods* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hypnotics and Sedatives/therapeutic use* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Midazolam/therapeutic use* | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Patient Satisfaction* | - |
dc.subject.MESH | Premedication/methods | - |
dc.subject.MESH | Propofol/therapeutic use | - |
dc.subject.MESH | Stomach Neoplasms/surgery* | - |
dc.title | Patient satisfaction after endoscopic submucosal dissection under propofol-based sedation: a small premedication makes all the difference | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine | - |
dc.contributor.googleauthor | Seokyung Shin | - |
dc.contributor.googleauthor | Chan Hyuk Park | - |
dc.contributor.googleauthor | Hyun Ju Kim | - |
dc.contributor.googleauthor | Sang Hun Park | - |
dc.contributor.googleauthor | Sang Kil Lee | - |
dc.contributor.googleauthor | Young Chul Yoo | - |
dc.identifier.doi | 10.1007/s00464-016-5276-0 | - |
dc.contributor.localId | A02109 | - |
dc.contributor.localId | A02484 | - |
dc.contributor.localId | A02812 | - |
dc.relation.journalcode | J02703 | - |
dc.identifier.eissn | 1432-2218 | - |
dc.identifier.pmid | 27743126 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00464-016-5276-0 | - |
dc.subject.keyword | Conscious | - |
dc.subject.keyword | Endoscopy | - |
dc.subject.keyword | Gastrointestinal | - |
dc.subject.keyword | Midazolam | - |
dc.subject.keyword | Satisfaction | - |
dc.subject.keyword | Sedation | - |
dc.contributor.alternativeName | Shin, Seo Kyung | - |
dc.contributor.alternativeName | Yoo, Young Chul | - |
dc.contributor.alternativeName | Lee, Sang Kil | - |
dc.contributor.affiliatedAuthor | Shin, Seo Kyung | - |
dc.contributor.affiliatedAuthor | Yoo, Young Chul | - |
dc.contributor.affiliatedAuthor | Lee, Sang Kil | - |
dc.citation.volume | 31 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 2636 | - |
dc.citation.endPage | 2644 | - |
dc.identifier.bibliographicCitation | SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.31(6) : 2636-2644, 2017 | - |
dc.identifier.rimsid | 38387 | - |
dc.type.rims | ART | - |
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