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Basavana Goudra 3 Articles
Anesthesia for Advanced Endoscopic Procedures
Basavana Goudra, Monica Saumoy
Clin Endosc 2022;55(1):1-7.   Published online January 3, 2022
DOI: https://doi.org/10.5946/ce.2021.236
AbstractAbstract PDFPubReaderePub
The gastrointestinal endoscopy paradigm is rapidly changing, and technological advancements are largely responsible. In tandem, anesthesia providers are adapting to the changing needs and demands. The challenges are unique. Complications arising from the procedures are both routine, such as aspiration and hypoxia, and procedure specific, such as bleeding, pneumothorax, pneumopericardium, and pneumoperitoneum. It is crucial for the anesthesia provider to have a good understanding of the techniques employed by the endoscopist. A higher index of suspicion is also essential to diagnose and appropriately manage many of the complications. In this review, an effort is made to discuss both procedural aspects and anesthesia challenges. We hope that both endoscopists and anesthesia providers will benefit from this review.

Citations

Citations to this article as recorded by  
  • Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
    Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
    Gut and Liver.2024; 18(1): 10.     CrossRef
  • Optimizing perioperative anesthesia strategies for safety and high-quality during painless gastrointestinal endoscopy diagnosis and treatment
    Le Xu, Yanhong Li, Hong Zheng, Rurong Wang
    Anesthesiology and Perioperative Science.2024;[Epub]     CrossRef
  • Clinical practice guidelines for percutaneous endoscopic gastrostomy
    Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
    Clinical Endoscopy.2023; 56(4): 391.     CrossRef
  • Clinical Practice Guideline for Percutaneous Endoscopic Gastrostomy
    Chung Hyun Tae, Ju Yup Lee, Moon Kyung Joo, Chan Hyuk Park, Eun Jeong Gong, Cheol Min Shin, Hyun Lim, Hyuk Soon Choi, Miyoung Choi, Sang Hoon Kim, Chul-Hyun Lim, Jeong-Sik Byeon, Ki-Nam Shim, Geun Am Song, Moon Sung Lee, Jong-Jae Park, Oh Young Lee
    The Korean Journal of Gastroenterology.2023; 82(3): 107.     CrossRef
  • Case of Concomitant Endoscopic Treatment of Achalasia with Superficial Esophageal Cancer
    Myung-Hun Lee, Kyoungwon Jung, Jae Hyun Kim, Sung Eun Kim, Won Moon, Moo In Park, Seun Ja Park
    The Korean Journal of Gastroenterology.2023; 82(5): 248.     CrossRef
  • 5,344 View
  • 361 Download
  • 4 Web of Science
  • 5 Crossref
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Recent Developments in Devices Used for Gastrointestinal Endoscopy Sedation
Basavana Goudra, Gowri Gouda, Preet Mohinder Singh
Clin Endosc 2021;54(2):182-192.   Published online March 18, 2021
DOI: https://doi.org/10.5946/ce.2020.057
AbstractAbstract PDFPubReaderePub
Hypoxemia is a frequent and potentially fatal complication occurring in patients during gastrointestinal endoscopy. The administration of propofol sedation increases the risk of most complications, especially hypoxemia. Nevertheless, propofol has been increasingly used in the United States, and the trend is likely to increase in the years to come. Patient satisfaction and endoscopist satisfaction along with rapid turnover are some of the touted reasons for this trend. However, propofol sedation generally implies deep sedation or general anesthesia. As a result, hypopnea and apnea frequently occur. Inadequate sedation and presence of irritable airway often cause coughing and laryngospasm, both leading to hypoxemia and potential cardiac arrest. Hence, prevention of hypoxemia is of paramount importance. Traditionally, standard nasal cannula is used to administer supplement oxygen. However, it cannot sufficiently provide continuous positive airway pressure (CPAP) or positive pressure ventilation. Device manufacturers have stepped in to fill this void and created many types of cannulas that provide apneic insufflation of oxygen and CPAP and eliminate dead space. Such measures decrease the incidence of hypoxemia. This review aimed to provide essential information of some of these devices.

Citations

Citations to this article as recorded by  
  • Impact of a simple non-invasive nasal mask device on intraprocedural hypoxemia in overweight individuals undergoing upper gastrointestinal endoscopy with sedation provided by a non-anesthesiologist provider
    Jan Drews, Jonas Harder, Hannah Kaiser, Miriam Soenarjo, Dorothee Spahlinger, Peter Wohlmuth, Sebastian Wirtz, Ralf Eberhardt, Florian Bornitz, Torsten Bunde, Thomas von Hahn
    Clinical Endoscopy.2024; 57(2): 196.     CrossRef
  • Noninvasive respiratory support with high-flow nasal cannula in endoscopic surgery in a patient with Legionella Pneumophila pneumonia: a case report
    Vincenzo Pota, Francesco Coppolino, Annamaria Auricchio, Francesca Cardella, Maurizio Del Prete, Antonio Scalvenzi, Pasquale Sansone, Maria Beatrice Passavanti, Maria Caterina Pace
    Perioperative Medicine.2024;[Epub]     CrossRef
  • Sedation for GI Endoscopy in the Morbidly Obese: Challenges and Possible Solutions
    Lalitha Sundararaman, Basavana Goudra
    Journal of Clinical Medicine.2024; 13(16): 4635.     CrossRef
  • Comprehensive review of perioperative factors influencing ferroptosis
    Cheng-Hui Fan, Xiao-Qin Zeng, Rui-Min Feng, Hua-Wei Yi, Rui Xia
    Biomedicine & Pharmacotherapy.2024; 179: 117375.     CrossRef
  • Should We Use High-Flow Nasal Cannula in Patients Receiving Gastrointestinal Endoscopies? Critical Appraisals through Updated Meta-Analyses with Multiple Methodologies and Depiction of Certainty of Evidence
    Chi Chan Lee, Teressa Reanne Ju, Pei Chun Lai, Hsin-Ti Lin, Yen Ta Huang
    Journal of Clinical Medicine.2022; 11(13): 3860.     CrossRef
  • An intravenous anesthetic drug-propofol, influences the biological characteristics of malignant tumors and reshapes the tumor microenvironment: A narrative literature review
    Xueliang Zhou, Yanfei Shao, Shuchun Li, Sen Zhang, Chengsheng Ding, Lei Zhuang, Jing Sun
    Frontiers in Pharmacology.2022;[Epub]     CrossRef
  • Endo-anesthesia: a primer
    Fateh Bazerbachi, Rodger M White, Nauzer Forbes, Basavana Goudra, Barham K Abu Dayyeh, Vinay Chandrasekhara, BobbieJean Sweitzer
    Gastroenterology Report.2022;[Epub]     CrossRef
  • High-flow oxygen via oxygenating mouthguard in short upper gastrointestinal endoscopy: A randomised controlled trial
    Kim Hay Be, Leonardo Zorron Cheng Tao Pu, Brett Pearce, Matthew Lee, Luke Fletcher, Rebecca Cogan, Philip Peyton, Rhys Vaughan, Marios Efthymiou, Sujievvan Chandran
    World Journal of Gastrointestinal Endoscopy.2022; 14(12): 777.     CrossRef
  • 10,123 View
  • 281 Download
  • 8 Web of Science
  • 8 Crossref
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Association between Type of Sedation and the Adverse Events Associated with Gastrointestinal Endoscopy: An Analysis of 5 Years’ Data from a Tertiary Center in the USA
Basavana Goudra, Ahmad Nuzat, Preet Mohinder Singh, Anuradha Borle, Augustus Carlin, Gowri Gouda
Clin Endosc 2017;50(2):161-169.   Published online April 29, 2016
DOI: https://doi.org/10.5946/ce.2016.019
AbstractAbstract PDFPubReaderePub
Background
/Aims: The landscape of sedation for gastrointestinal (GI) endoscopic procedures and the nature of the procedures themselves have changed over the last decade. In this study, an attempt is made to analyze the frequency and etiology of all major adverse events associated with GI endoscopy.
Methods
All adverse events extracted from the electronic database and local registry were analyzed. Although the data analysis was retrospective, the adverse events themselves were documented prospectively. These events were evaluated after subdivision into propofol-based anesthesia and intravenous conscious sedation groups.
Results
Cardiorespiratory events, including cardiac arrest, were the most common adverse events during esophagogastroduodenoscopy, while bleeding was more frequent in patients undergoing colonoscopy. Pancreatitis was the most frequent adverse event in patients undergoing endoscopic retrograde cholangiopancreatography. The frequencies of most adverse events were significantly higher in patients anesthetized with propofol. Automatic regression modeling showed that the type of sedation, the American Society of Anesthesiologists physical status classification, and the procedure type were some of the predictors of immediate life-threatening complications.
Conclusions
Clearly, our regression modeling suggests a strong association between the type of sedation as well as various patient factors and the frequency of adverse events. The possible reasons for our results are the changing demographics, the worsening comorbidities of the patient population, and the increasing technical complexity of these procedures. Although extensive use of propofol has increased patient satisfaction and procedure acceptability, its use is also associated with more frequent adverse events.

Citations

Citations to this article as recorded by  
  • Upper gastrointestinal endoscopy procedure volume trends, perioperative mortality, and malpractice claims: Population-based analysis
    Nelli Nurminen, Tommi Järvinen, Eric Robinson, Nanruoyi Zhou, Silja Salo, Jari Räsänen, Ville Kytö, Ilkka Ilonen
    Endoscopy International Open.2024; 12(03): E385.     CrossRef
  • Predictors and impact of aspiration pneumonia in patients undergoing esophagogastroduodenoscopy: national inpatient sample 2016–2020
    Jay Patel, Aalam Sohal, Hunza Chaudhry, Shivam Kalra, Isha Kohli, Ishandeep Singh, Dino Dukovic, Juliana Yang
    European Journal of Gastroenterology & Hepatology.2024; 36(3): 298.     CrossRef
  • Providing Safe Anesthetic Care and Sedation for GI Endoscopy
    Sheetal Kedar, Ryan M. Chadha
    Current Anesthesiology Reports.2024; 14(2): 161.     CrossRef
  • Sedation for GI Endoscopy in the Morbidly Obese: Challenges and Possible Solutions
    Lalitha Sundararaman, Basavana Goudra
    Journal of Clinical Medicine.2024; 13(16): 4635.     CrossRef
  • Epidemiology of complications in anesthesiology and possible ways of their prevention
    A. M. Ziganshin, R. M. Marakanov, A. R. Mulyukov, D. O. Baboyan, R. B. Nadyrgulov, N. M. Gilyazitdinov
    Acta Biomedica Scientifica.2024; 9(4): 203.     CrossRef
  • Cost-Effectiveness of Earlier or More Intensive Colorectal Cancer Screening in Overweight and Obese Patients
    Aaron Yeoh, Ajitha Mannalithara, Uri Ladabaum
    Clinical Gastroenterology and Hepatology.2023; 21(2): 507.     CrossRef
  • Gastrointestinal endoscopy procedures under intravenous sedation in the prone position: keep LMA gastro handy!
    Anju Gupta, Rajeshwari Subramaniam, Pyarelal R Rathod, Mussavvir Agha
    Journal of Clinical Monitoring and Computing.2023; 37(2): 715.     CrossRef
  • Utility of high-flow nasal oxygen in comparison to conventional oxygen therapy during upper gastrointestinal endoscopic procedures under sedation: A systematic review and meta-analyses
    Puneet Khanna, Damarla Haritha, Aditi Das, Soumya Sarkar, Avishek Roy
    Indian Journal of Gastroenterology.2023; 42(1): 53.     CrossRef
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    Viviana Parra Izquierdo, Juan Sebastián Frías Ordoñez, Jenny Paola Navarro Morantes, Humberto Navarro Morantes, Kimberly Tatiana Castro Ruíz, Cristina Navarro Morantes, Jesús David Castillo, Cristian Flórez Sarmiento
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    Digestive Diseases and Sciences.2022; 67(8): 4154.     CrossRef
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    Basavana Goudra
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    Jinqing Ou, Kuiqing Lu, Junzhen Li, Xi Deng, Junhui He, Guijin Luo, Hongdan Mo, Lingli Lu, Man Yang, Jinqiu Yuan, Pingguang Lei
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  • Recent Developments in Devices Used for Gastrointestinal Endoscopy Sedation
    Basavana Goudra, Gowri Gouda, Preet Mohinder Singh
    Clinical Endoscopy.2021; 54(2): 182.     CrossRef
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    Anesthesiology Research and Practice.2020; 2020: 1.     CrossRef
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    Basavana Goudra, Preet Mohinder Singh, Gary R. Lichtenstein
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    Kelly T. Wagner, Eleanor Fung
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    Hizir KAZDAL, Şule BATÇIK, Leyla KAZANCIOĞLU, İlkay BAHÇECİ, Remzi AKDOĞAN
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    Basavana Goudra, Preet Mohinder Singh
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    Elizabeth M. Thackeray, Ken B. Johnson
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    World Journal of Emergency Surgery.2018;[Epub]     CrossRef
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    Sol Yu, Young Sook Roh
    Nursing & Health Sciences.2018; 20(2): 247.     CrossRef
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    Joshua W. Sappenfield, Jeffrey D. White
    Current Opinion in Anaesthesiology.2018; 31(4): 463.     CrossRef
  • Sedation for gastrointestinal endoscopy in Australia
    Kate Leslie, James Sgroi
    Current Opinion in Anaesthesiology.2018; 31(4): 481.     CrossRef
  • Airway Management During Upper GI Endoscopic Procedures: State of the Art Review
    Basavana Goudra, Preet Mohinder Singh
    Digestive Diseases and Sciences.2017; 62(1): 45.     CrossRef
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    Raymond A. Dionne
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  • Upper Gastrointestinal Endoscopy prior to Bariatric Surgery-Mandatory or Expendable? An Analysis of 801 Cases
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  • Reply to “State of the Art in Airway Management During GI Endoscopy: The Missing Pieces”
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    Digestive Diseases and Sciences.2017; 62(5): 1388.     CrossRef
  • Adverse Events by Sedation Type in Gastrointestinal Endoscopy
    Joon Sung Kim, Byung-Wook Kim
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    Stephan Knigge, Klaus Hahnenkamp
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