2006
DOI: 10.1017/s1047951106000084
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Safety and efficacy of sedation with propofol for transoesophageal echocardiography in children in an outpatient setting

Abstract: Transoesophageal echocardiography can be performed on an outpatient basis in children with a wide spectrum of congenital cardiac malformations, and propofol is an ideal sedative agent in this setting. Although not common, preparations must be made for significant haemodynamic and respiratory complications. In our study, we intubated all the children under 2 years of age.

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Cited by 20 publications
(9 citation statements)
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“…Sedation and anesthesia for TEE in patients with CHD and children should be performed by experienced providers who understand the anatomy and pathophysiology of the specific lesions. 87 Esophageal intubation can be quite stimulating, therefore most children require deep sedation or general anesthesia, and an anesthesiologist or equivalent provider with expertise in caring for pediatric patients is usually involved in selecting, administering, and monitoring these agents. Close communication between the anesthesiologist and the echocardiographer prior to and during the procedure is essential.…”
Section: Sedation and Anesthesiamentioning
confidence: 99%
“…Sedation and anesthesia for TEE in patients with CHD and children should be performed by experienced providers who understand the anatomy and pathophysiology of the specific lesions. 87 Esophageal intubation can be quite stimulating, therefore most children require deep sedation or general anesthesia, and an anesthesiologist or equivalent provider with expertise in caring for pediatric patients is usually involved in selecting, administering, and monitoring these agents. Close communication between the anesthesiologist and the echocardiographer prior to and during the procedure is essential.…”
Section: Sedation and Anesthesiamentioning
confidence: 99%
“…[21][22][23] Propofol has been studied and shown to be safe and effective in pediatric patients undergoing a variety of procedures, like transesophageal echocardiography and MRI, in both inpatient and outpatient settings. [34][35][36] More important, combining propofol and ketamine has been evaluated in large case studies in patients with a variety of primary diagnoses, which include hematologic, oncologic, infectious, neurologic, and many other diagnoses. 21,37 This combination of agents has been studied in the emergency department, radiological imaging units and intensive care unit settings and has been found to be safe and effective when administered by skilled personnel, while also resulting in a more rapid recovery, shorter stay, and smoother anesthetic emergence.…”
Section: Discussionmentioning
confidence: 99%
“…The rate of severe complications is indicated as 0.18 %, while mortality accounts for less than 0.01 % [8,30]. Another analysis by Mart et al in pediatric patients with a deep propofol sedation for TEEs concludes that the rate of severe complications amounts to 4 %, including the necessity of mask ventilation and intubation [21]. Depending on the need for intervention, our complications are broken down into mild, medium or severe.…”
Section: Discussionmentioning
confidence: 99%