Surgical and patient experience and outcomes after propofol for endoscopic procedures
| ERCP | Other endoscopy | |
| Patient experience: | ||
| complete amnesia | 409 (96.2%) | 519 (90.3%) |
| (better than previously) | (71) | (175) |
| unable to assess | 14 (3.3%) | 52 (9.0%) |
| not recorded | 2 (0.5%) | 4 (0.7%) |
| Operator’s assessment of conditions: | ||
| excellent | 341 (82.2%) | 449 (78.08%) |
| very good | 67 (15.8%) | 107 (18.6%) |
| good | 17 (4.0%) | 17 (3.3%) |
| Clear benefit from propofol: | 214 (50.4%) | 395 (68.7%) |
| previously unable to complete or tolerate procedure | 88 | 173 |
| patient with challenging co-morbidities | 23 | 62 |
| patient request for propofol sedation or general anaesthesia | 19 | 91 |
| improved patient experience | 31 | 28 |
| endoscopist request for complex procedure | 53 | 41 |
| Procedure unable to be completed: | 28 (6.6%) | 9 (1.6%) |
| unable to locate or cannulate ampulla | 14 | – |
| unable to cannulate desired duct | 9 | – |
| unable to pass stricture | 1 | 4 |
| full stomach* | 1 | – |
| lost iv access* | 1 | – |
| inadequate bowel preparation | – | 3 |
| suspected perforation | – | 1 |
| endoscope failure | 1 | – |
| unable to pass pharyngeal pouch* | 1 | – |
| further investigation (EUS) required | – | 1 |
Values are number (%) of occurrences.
*Directly related to sedation or possibly avoidable with general anaesthesia.
ERCP, endoscopic retrograde cholangiopancreatography; EUS, endoscopic ultrasound.