ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
Cardiac arrests in patients undergoing gastrointestinal endoscopy: A retrospective analysis of 73,029 procedures.
Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Efficacy and safety of supraglottic jet oxygenation and ventilation to minimize sedation-related hypoxemia: a meta-analysis with GRADE approach.Systematic reviews · 2024Pooled it
- Safety of non-anesthesia provider administered propofol sedation in non-advanced gastrointestinal endoscopic procedures: A meta-analysis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology AssociationPooled it
- Comparative efficacy of modified nasopharyngeal airway and nasal cannula for oxygenation in deeply sedated patients undergoing endoscopic retrograde cholangiopancreatography: a randomized controlled trial.BMC anesthesiology · 2025Trial
- Efficacy of a nasal mask oxygen kit versus regular nasal cannula in sedated gastrointestinal endoscopy: a multicentre, randomised clinical trial.BMJ open gastroenterology · 2025Trial
- Cardiac Arrests During Inpatient Gastrointestinal Endoscopic Procedures: A United States Nationwide Assessment.Digestive diseases and sciences · 2026Article
- Effectiveness of personalized positioning management in preventing hypoxemia during sedated endoscopy: a retrospective study.BMC gastroenterology · 2026Observational
- Just a touch of propofol for the colonoscopy: should the anesthesiologist be concerned?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- Bispectral Index Guidance Reduced Target Plasma Propofol Concentration During ERCP in Patients with Liver Cirrhosis.Turkish journal of anaesthesiology and reanimation · 2024Article
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- High-flow nasal oxygenation during gastrointestinal endoscopy. Systematic review and meta-analysis.BJA open · 2022Review
- Recent Developments in Devices Used for Gastrointestinal Endoscopy Sedation.Clinical endoscopy · 2021Review
- GI Endoscopy Sedation in Patients with Cirrhosis: Routine or Unpredictable?Digestive diseases and sciences · 2020Article
- Use of LMAⓇ GastroTM in esophagogastroduodenoscopy and endoscopy.Korean journal of anesthesiology · 2019Article
- Occurrence of Cortical Arousal at Recovery from Respiratory Disturbances during Deep Propofol Sedation.International journal of environmental research and public health · 2019Observational
- A case of esophagogastroduodenoscopy induced Takotsubo cardiomyopathy with complete heart block.Clinical journal of gastroenterology · 2019Article
- Analysis of Anesthesia Administration in the Endoscopy Unit in Terms of Patient Profile and Complications: Retrospective Study.Medeniyet medical journal · 2019Article
- Polysomnographic assessment of respiratory disturbance during deep propofol sedation for endoscopic submucosal dissection of gastric tumors.World journal of gastrointestinal endoscopy · 2018Article
- Oral gastroscope-guided bougie insertion and endotracheal intubation.Indian journal of anaesthesia · 2018Article
- Reply to "State of the Art in Airway Management During GI Endoscopy: The Missing Pieces".Digestive diseases and sciences · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsAirway difficulties leading to cardiac arrest are frequently encountered during propofol sedation in patients undergoing gastrointestinal (GI) endoscopy. With a noticeable increase in the use of propofol for endoscopic sedation, we decided to examine the incidence and outcome of cardiac arrests in patients undergoing gastrointestinal (GI) endoscopy with sedation. PATIENTS AND
methodsIn this retrospective study, cardiac arrest data obtained from the clinical quality improvement and local registry over 5 years was analyzed. The information of patients who sustained cardiac arrest attributable to sedation was studied in detail. Analysis included comparison of cardiac arrests due to all causes until discharge (or death) versus the cardiac arrests and death occurring during the procedure and in the recovery area.
resultsThe incidence of cardiac arrest and death (all causes, until discharge) was 6.07 and 4.28 per 10,000 in patients sedated with propofol, compared with non-propofol-based sedation (0.67 and 0.44). The incidence of cardiac arrest during and immediately after the procedure (recovery area) for all endoscopies was 3.92 per 10,000; of which, 72% were airway management related. About 90.0% of all peri-procedural cardiac arrests occurred in patients who received propofol.
conclusionsThe incidence of cardiac arrest and death is about 10 times higher in patients receiving propofol-based sedation compared with those receiving midazolam-fentanyl sedation. More than two thirds of these events occur during EGD and ERCP.
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