title: [General anesthesia during double balloon enteroscopy--Hungarian experiences].
abstract: Double balloon enteroscopy needs sufficient sedation technique, because the examination is uncomfortable and lengthy. The most prevalent sedation method is conscious sedation world-wide.
  
  
  OBJECTIVE
  To demonstrate that double balloon enteroscopy examination can also be safely performed in general anesthesia with intubation and that this method can be an option in patients with severe multiple morbidities.
  
  
  METHODS
  A retrospective evaluation of intubation narcosis in patients undergoing double balloon enteroscopy was performed at the 1st Department of Internal Medicine, Semmelweis University. Patients were grouped based on gender, age and physical state. Anesthesia records included the duration of anesthesia, the quantities of medications used and anesthesia-related complications.
  
  
  RESULTS
  Data obtained from 108 general anesthesia cases were analyzed. There were no permanent anesthesia-related complications in the period examined. The most frequent side effects of anesthesia were hypotension (30.55%), desaturation (21.29%), and apnea (17.59%). These complications were significantly more frequent among patients with multiple morbidities; however, their incidence was not proportional with the quantity of the medications used or the duration of anesthesia.
  
  
  CONCLUSIONS
  The findings confirm that the most important advantage of general anesthesia over other methods is that it ensures stable airways, which makes it easy to counter-act frequent complications such as desaturation, apnea and aspiration. The number of complications of anesthesia was higher among patients with multiple morbidities, but these complications could be easily overcome in all patient groups. Therefore, this method is highly recommended for patients with multiple morbidities. Intubation narcosis can be also a viable option of conscious sedation for patients without co-morbidities.
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Aneszteziológiai és Intenzív Terápiás Klinika Budapest Kútvölgyi út 4. 1125. lzubek@freemail.hu
authors.forename: László
authors.initials: L
authors.lastname: Zubek
authors.forename: Léna
authors.initials: L
authors.lastname: Szabó
authors.forename: János
authors.initials: J
authors.lastname: Gál
authors.forename: Péter László
authors.initials: PL
authors.lastname: Lakatos
authors.forename: János
authors.initials: J
authors.lastname: Papp
authors.forename: Gábor
authors.initials: G
authors.lastname: Elo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D015897:Comorbidity; D016292:Procedural Sedation / Q000379:methods; D058582:Double-Balloon Enteroscopy; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects* / Q000379:methods*; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008874:Midazolam / Q000008:administration & dosage; D008875:Middle Aged; D015742:Propofol / Q000008:administration & dosage
chemical_list: D018686:Anesthetics, Intravenous; D008874:Midazolam; D005283:Fentanyl; D015742:Propofol