Endoscopy without Sedation less Time in the Recovery Unit Post-Procedure

Abstract

Background In this study, we compared the length of time in the recovery room following endoscopic procedures with and without sedation and looked for any differences in pain scores that were statistically significant. MethodsRetrospective study, which was taken from the patient's records in the recovery unit, with a sample of 200 patients.Result Regarding the sociodemographic data the mean age was 60.5 years old generally, with 108 males (54%), and 92 females (46%. Regarding the type of sedation, 50 patients had OGD with no sedation (25%), and 50 had it with sedation (25%). 50 patients had colonoscopy with only fentanyl (25%), and 50 had it with both fentanyl and midazolam (25%). Regarding the dose range of fentanyl,100 patients had it, 97 between 25-50 mcg and 3 patients had more than 50 mcg, for the dose of midazolam, 100 patients had it, 95 patients had between 1.5-3.0 mg, 5 had between 4-5 mg. The LOS (min) 99 patients had more than 120 minutes (49.5%), 58 between 61-120 (29%), and 43 between 9-60 minutes (21.5%) in the recovery unit. ConclusionThis study has concluded that most of the patients who have had endoscopy with sedation had a prolonged time in recovery compared to patients who didn't have sedation and had a lower time in recovery. For colonoscopy, most of the patients had a longer time when using both midazolam and fentanyl compared to those who had only fentanyl, which indicates that using midazolam increases the time in recovery. The higher the dose of sedation the more time in the recovery post-endoscopy. There was no significant difference in pain score in colonoscopy with sedation or without.