Abstract
and endoscopist satisfaction were significantly higher in the ‘subcutaneous ketamine in conjunction with opioid’ group. Recovery time was comparable in three groups and all patients experienced an uneventful recovery. Conclusion Subcutaneous dissociative conscious sedation, a recently reported method of conscious sedation, provides more safety and patient satisfaction in comparison with conventional methods. Subcutaneous ketamine in conjunction with opioid could be considered as a safe and efficient method of conscious sedation in remote location anaesthesia.
Highlights
Colonoscopy is among the common diagnostic and therapeutic gastrointestinal interventions, which is routinely done outside the operating room
Anesthesiology and Intensive care Unit, Tehran University of Medical Sciences, Iran and endoscopist satisfaction were significantly higher in the ‘subcutaneous ketamine in conjunction with opioid’ group
Subcutaneous ketamine in conjunction with opioid could be considered as a safe and efficient method of conscious sedation in remote location anaesthesia
Summary
Colonoscopy is among the common diagnostic and therapeutic gastrointestinal interventions, which is routinely done outside the operating room. Colonoscopy is an important and common gastrointestinal therapeutic and diagnostic intervention[1], which is performed outside the operating theatre by endoscopists[2]. Despite considerable improvement in gastrointestinal procedures, anaesthesia in remote areas is not risk free and patient safety is still the most important concern outside operating theatre procedures. The pain related to gas insufflation and patient anxiety propose using sedatives and analgesics during the colonoscopy procedure. Using hypnotics in combination with opioids improves the quality of sedation and reduces probable side effects[3,8,9,10,11,12,13,14,15,16,17,18]. Propofol has been recommended as a safe hypnotic drug in colonoscopy while using appropriate monitoring[19,20,21,22,23,24,25,26,27,28,29,30]
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