Ketamine with Propofol for Endoscopic Procedures

Bhalotra, Anju

doi:10.4097/kja.d.18.00037

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…When used as a mixture, the ratio of propofol to ketamine is variable (1:1, 2:1, 3:1, and 4:1), with lower ketamine concentration such as 4:1 respiratory depression and post-procedural drowsiness will be lower. [ 23 27 ] As a result of its analgesic properties, there is decreased need for opiates such as fentanyl.…”

Section: Sedation Techniquesmentioning

confidence: 99%

Anesthesia for GI endoscopy in the era of COVID-19

Goudra

Singh

2021

Saudi Journal of Anaesthesia

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As a result of COVID-19, the last few weeks have necessitated a reevaluation of the sedation paradigm for gastrointestinal (GI) endoscopic procedures. Routine screening and some surveillance procedures have taken a backseat and likely to remain so until a vaccine or effective treatment becomes available. Anesthesia providers and endoscopists are required to adapt to this new reality rapidly. The general aim of sedation remains the same-patient comfort, reduced hypoxia, prevention of aspiration along with rapid recovery, and discharge. The present review focuses on necessary modification to reduce the risk of virus contagion for both patients (from health-care providers) and vice versa. A preprocedure evaluation and consenting should be modified and provided remotely. Unsedated GI endoscopy, sedation with minimal respiratory depression, and modification of general anesthesia are explored. Challenges with supplemental oxygen administration and monitoring are addressed. Guidelines for appropriate use of personal protective equipment are discussed. Measures for limiting aerosolization are deliberated.

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Section: Sedation Techniquesmentioning

confidence: 99%