ArticleSaudi journal of anaesthesia2013
Outpatient endoscopic retrograde cholangiopancreatography: Safety and efficacy of anesthetic management with a natural airway in 653 consecutive procedures.
Article in Saudi journal of anaesthesia, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 53 citations in OpenAlex.
- Effect of Gum Chewing on the Volume and pH of Gastric Contents: A Prospective Randomized Study.Digestive diseases and sciences · 2015Trial
- Effect of deep analgosedation vs. intubated general anesthesia on perioperative sedation-related adverse events in older adults undergoing ERCP: protocol for a randomized controlled trial.Frontiers in medicine · 2026Article
- Moderate Sedation or Deep Sedation for ERCP: What Are the Preferences in the Literature?Life (Basel, Switzerland) · 2024Review
- Sedation for GI Endoscopy in the Morbidly Obese: Challenges and Possible Solutions.Journal of clinical medicine · 2024Review
- True intratracheal oxygen concentration delivered by SentriO Oxy™ masks under various respiratory conditions: a bench study.Journal of clinical monitoring and computing · 2023Article
- Analysis of Factors Related to Spiritual Psychology and Quality of Life in Patients with Inflammatory Bowel Disease Based on Artificial Intelligence IBD Nursing Technology.Journal of healthcare engineering · 2022Article
- Recent Developments in Devices Used for Gastrointestinal Endoscopy Sedation.Clinical endoscopy · 2021Review
- Efficiency of oxygen delivery through different oxygen entrainment devices during sedation under low oxygen flow rate: a bench study.Journal of clinical monitoring and computing · 2018Article
- Photoplethysmography respiratory rate monitoring in patients receiving procedural sedation and analgesia for upper gastrointestinal endoscopy.Journal of clinical monitoring and computing · 2017Observational
- Association between Type of Sedation and the Adverse Events Associated with Gastrointestinal Endoscopy: An Analysis of 5 Years' Data from a Tertiary Center in the USA.Clinical endoscopy · 2017Article
- Sedative and Analgesic Effects of Propofol-Fentanyl Versus Propofol-Ketamine During Endoscopic Retrograde Cholangiopancreatography: A Double-Blind Randomized Clinical Trial.Anesthesiology and pain medicine · 2016Article
- Monitoring minute ventilation versus respiratory rate to measure the adequacy of ventilation in patients undergoing upper endoscopic procedures.Journal of clinical monitoring and computing · 2016Article
- Therapeutic Endoscopy Can Be Performed Safely in an Ambulatory Surgical Center: A Multicenter, Prospective Study.Diagnostic and therapeutic endoscopy · 2016Article
- Propofol alternatives in gastrointestinal endoscopy anesthesia.Saudi journal of anaesthesia · 2014Review
- Remimazolam: The future of its sedative potential.Saudi journal of anaesthesia · 2014Review
- SEDASYS(®), airway, oxygenation, and ventilation: anticipating and managing the challenges.Digestive diseases and sciences · 2014Review
- Goudra ventilating bite block to reduce hypoxemia during endoscopic retrograde cholangiopancreatography.Saudi journal of anaesthesia · 2014Article
- Postoperative analgesia in morbid obesity.Obesity surgery · 2014Review
- ERCP: the unresolved question of endotracheal intubation.Digestive diseases and sciences · 2014Review
- Significantly reduced hypoxemic events in morbidly obese patients undergoing gastrointestinal endoscopy: Predictors and practice effect.Journal of anaesthesiology, clinical pharmacology · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndoscopic retrograde cholangiopancreatography (ERCP) is a unique diagnostic and therapeutic procedure performed in high risk patients in prone/semi-prone position. Propofol based deep sedation has emerged as the method of choice however, the ability to predict possible complications is yet un-explored.
aimsThe present study aimed to evaluate known high risk-factors for general anesthesia (American Society of Anesthesiologists (ASA) status, body mass index (BMI), and Mallampati class) for their ability to affect outcomes in ERCP patients. STUDY
designRetrospective data of 653 patients who underwent ERCP during a period of 26 months at university hospital of Pennsylvania was reviewed. Patient-specific and procedure specific data was extracted. Desaturation was defined by fall of pulse oximeter saturation below 95% and its relation to patient specific high risk-factors was analyzed.
resultsOnly 45 patients had transient de-saturation below 95% without any residual sequlae. No statistically significant relation between desaturation episodes and patients higher ASA status or BMI or modified Mallampati (MMP) class was found. Despite 60% patients being ASA III/IV none required emergency intubation or procedural interruption. Optimal oxygenation and airway patency was maintained with high degree of success using simple airway maneuvers or conduit devices (nasal/oral trumpet) with oxygen supplementation in all patients.
conclusionsUnlike general anesthesia, pre-operative patient ASA status, higher MMP or increasing BMI does not bear relation with likelihood of patients desaturating during ERCP. In presence of vigilant apnea monitoring and careful dose titration of maintenance anesthetics with airway conduits, general anesthesia, emergency intubations, and procedure interruptions can be avoided.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.