title: [Characteristics of deep sedation in gastrointestinal endoscopic procedures performed by intensivists].
abstract: OBJECTIVE
  To determine tolerance, pain intensity, percentage of tests completed successfully and complications of deep sedation controlled by intensivists during gastrointestinal endoscopic procedures.
  
  
  METHODS
  A one-year, prospective observational study was carried out.
  
  
  METHODS
  Department of Intensive Care intervention in the Endoscopy Unit of Hospital Universitario del Tajo (Spain).
  
  
  METHODS
  Subjects over 15 years of age subjected to endoscopic procedures under deep sedation.
  
  
  RESULTS
  A total of 868 patients were sedated during the study period, with the conduction of 1010 endoscopic procedures. The degree of tolerance was considered adequate («Very good»/«Good») in 96.9% of the patients (95%CI: 95.7-98.1%), with a median score of 0 on the pain visual analog scale. A total of 988 endoscopic procedures were successfully completed (97.8%; 95%CI: 96.9-98.8%): 675 colonoscopies (97.1%) and 305 endoscopies (99.7%). Complications were recorded in 106 patients (12.2%; 95%CI: 10.0-14.5%). The most frequent being desaturation (6.1%), rhythm disturbances (5.1%) and hypotension (2.4%).
  
  
  CONCLUSIONS
  Gastrointestinal endoscopic procedures under sedation controlled by intensivists are well tolerated and satisfactory for the patient, and are successfully completed in a very large percentage of cases. The procedures are associated with frequent minor complications that are resolved successfully.
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España. Electronic address: intensivator@yahoo.es.
authors.forename: Ó
authors.initials: Ó
authors.lastname: Martínez
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España.
authors.forename: D
authors.initials: D
authors.lastname: Ballesteros
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España.
authors.forename: B
authors.initials: B
authors.lastname: Estébanez
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España.
authors.forename: M
authors.initials: M
authors.lastname: Chana
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España.
authors.forename: B
authors.initials: B
authors.lastname: López
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España.
authors.forename: C
authors.initials: C
authors.lastname: Martín
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España.
authors.forename: Á
authors.initials: Á
authors.lastname: Algaba
authors.affiliation: Servicio de Medicina Intensiva, Hospital Universitario del Tajo, Aranjuez, España.
authors.forename: L
authors.initials: L
authors.lastname: Vigil
authors.affiliation: Unidad de Cuidados Intensivos, Hospital de Torrejón, Torrejón de Ardoz, España.
authors.forename: R
authors.initials: R
authors.lastname: Blancas
mesh_terms: D003422:Critical Care; D054810:Deep Sedation; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
keywords: Adverse effects; Colonoscopia; Colonoscopy; Deep sedation; Efectos adversos; Endoscopia; Endoscopy; Gastroenterology; Gastroenterología; Gastroscopia; Gastroscopy; Propofol; Sedación profunda