Alfentanil versus ketamine combined with propofol for sedation during upper gastrointestinal system endoscopy in morbidly obese patients

Ertugrul Kılıc; Barıs Demiriz; Nurgül Isıkay; Abdullah E. Yıldırım; Selman Can; Cem Basmacı

doi:10.15537/smj.2016.11.14557

References

↵
1. Abd Ellatif ME,
2. Alfalah H,
3. Asker WA,
4. El Nakeeb AE,
5. Magdy A,
6. Thabet W,
7. et al.
(2016) Place of upper endoscopy before and after bariatric surgery: A multicenter experience with 3219 patients. World J Gastrointest Endosc 8:409–417.
OpenUrl
↵
1. Levitt C,
2. Wei H
(2014) Supraglotic pulsatile jet oxygenation and ventilation during deep propofol sedation for upper gastrointestinal endoscopy in a morbidly obese patient. J Clin Anesth 26:157–159.
OpenUrl
↵
1. Borrat X,
2. Valencia JF,
3. Magrans R,
4. Gimenez-Mila M,
5. Mellado R,
6. Sendino O,
7. et al.
(2015) Sedation-analgesia with propofol and remifentanil: concentrations required to avoid gag reflex in upper gastrointestinal endoscopy. Anesth Analg 121:90–96.
OpenUrl
↵
1. Cao S,
2. Li Y,
3. Wang L,
4. Cui J,
5. Jia N,
6. Li R,
7. et al.
(2016) Synergistic analgesic effect of propofol-alfentanil combination through detecting the inhibition of cAMP signal pathway. J Pharm Pharmacol 68:1170–1176.
OpenUrl
↵
1. Ozkan G,
2. Ince ME,
3. Eskin MB,
4. Erol G,
5. Kadan M,
6. Ozgur G,
7. et al.
(2016) Sedoanalgesia for cardioversion: comparison of alfentanil, remifentanil and fentanyl combined with propofol and midazolam: a prospective, randomized, double-blind study. Eur Rev Med Pharmacol Sci 20:1140–1148.
OpenUrl
↵
1. Toman H,
2. Erkılınc A,
3. Kocak T,
4. et al.
(2016) Sedation for transesophageal echocardiography: comparison of propofol, midazolam and midazolam-alfentanil combination. Med Glas (Zenica) 13:18–24.
OpenUrl
↵
1. Petskul S,
2. Kitsiripant C,
3. Rujirojindakul P,
4. Chantarokorn A,
5. Jullabunyasit A,
6. Thinchana S
(2016) Prophylactic Low-Dose Ketamine to Prevent Post Anesthetic Shivering in Orthopedic Surgery: A Randomized-Controlled Study. J Med Assoc Thai 99:400–405.
OpenUrl
↵
1. Türk HŞ,
2. Aydoğmuş M,
3. Ünsal O,
4. Işıl CT,
5. Citgez B,
6. Oba S,
7. et al.
(2014) Ketamine versus alfentanil combined with propofol for sedation in colonoscopy procedures: a randomized prospective study. Turk J Gastroenterol 25:644–649.
OpenUrl
↵
1. Akhondzadeh R,
2. Ghomeishi A,
3. Nesioonpour S,
4. Nourizade S
(2016) A comparison between the effects of propofol-fentanyl with propofol-ketamine for sedation in patients undergoing endoscopic retrograde cholangiopancreatography outside the operating room. Biomed J 39:145–149.
OpenUrl PubMed
↵
1. Akça B,
2. Aydoğan-Eren E,
3. Canbay Ö,
4. Karagöz AH,
5. Üzümcügil F,
6. Ankay-Yilbaş A,
7. et al.
(2016) Comparison of efficacy of prophylactic ketamine and dexmedetomidine on postoperative bladder catheter-related discomfort. Saudi Med J 37:55–59.
OpenUrl Abstract/FREE Full Text
↵
1. Chandar R,
2. Jagadisan B,
3. Vasudevan A
(2015) Propofol-ketamine and propofol-fentanyl combinations for nonanesthetist-administered sedation. J Pediatr Gastroenterol Nutr 60:762–768.
OpenUrl
↵
1. Kotsovolis G,
2. Karakoulas K,
3. Grosomanidis V,
4. Tziris N
(2015) Comparison between the combination of gabapentin, ketamine, lornoxicam, and local ropivacaine and each of these drugs alone for pain after laparoscopic cholecystectomy: a randomized trial. Pain Pract 15:355–363.
OpenUrl
↵
1. Narayanan S,
2. Shannon A,
3. Nandalan S,
4. Jaitly V,
5. Greer S
(2015) Alternative sedation for the higher risk endoscopy: a randomized controlled trial of ketamine use in endoscopic retrograde cholangiopancreatography. Scand J Gastroenterol 50:1293–1303.
OpenUrl
1. Singh C,
2. Pandey RK,
3. Saksena AK,
4. Chandra G
(2014) A comparative evaluation of analgo-sedative effects of oral dexmedetomidine and ketamine: a triple-blind, randomized study. Paediatr Anaesth 24:1252–1259.
OpenUrl CrossRef PubMed
1. Mathews TJ,
2. Churchhouse AM,
3. Housden T,
4. Dunning J
(2012) Does adding ketamine to morphine patient-controlled analgesia safely improve post-thoracotomy pain? Interact Cardiovasc Thorac Surg 14:194–199.
OpenUrl CrossRef PubMed
↵
1. Mihaljevic S,
2. Mihaljevic L,
3. Cacic M
(2014) Sympathetic activity of S- ()-ketamine low doses in the epidural space. Braz J Anesthesiol 64:227–235.
OpenUrl
↵
1. Ho WM,
2. Yen CM,
3. Lan CH,
4. Lin CY,
5. Yong SB,
6. Hwang KL,
7. et al.
(2012) Comparison between the recovery time of alfentanil and fentanyl in balanced propofol sedation for gastrointestinal and colonoscopy: a prospective, randomized study. BMC Gastroenterol 12:164.
OpenUrl PubMed
↵
1. Sahin L,
2. Sahin M,
3. Aktas O,
4. Kilic E,
5. Mandollu E
(2012) Comparison of propofol/ketamine versus propofol/alfentanil for dilatation and curettage. Clin Exp Obstet Gynecol 39:72–75.
OpenUrl PubMed
↵
1. Minoshima R,
2. Kosugi S,
3. Nishimura D,
4. Ihara N,
5. Seki H,
6. Yamada T,
7. et al.
(2015) Intra- and postoperative low-dose ketamine for adolescent idiopathic scoliosis surgery: a randomized controlled trial. Acta Anaesthesiol Scand 59:1260–1268.
OpenUrl CrossRef PubMed
↵
1. Gholipour Baradari A,
2. Firouzian A,
3. Zamani Kiasari A,
4. Aarabi M,
5. Emadi SA,
6. Davanlou A,
7. et al.
(2016) Effect of Etomidate Versus Combination of Propofol-Ketamine and Thiopental-Ketamine on Hemodynamic Response to Laryngoscopy and Intubation: A Randomized Double Blind Clinical Trial. Anesth Pain Med, 6e30071.
1. Ghatak T,
2. Singh D,
3. Kapoor R,
4. Bogra J
(2012) Effects of addition of ketamine, fentanyl and saline with Propofol induction on hemodynamics and laryngeal mask airway insertion conditions in oral clonidine premedicated children. Saudi J Anaesth 6:140–144.
OpenUrl PubMed
↵
1. Baykal Tutal Z,
2. Gulec H,
3. Derelı N,
4. Babayıgıt M,
5. Kurtay A,
6. Inceoz H,
7. et al.
(2016) Propofol-ketamine combination: a choice with less complications and better hemodynamic stability compared to propofol? On a prospective study in a group of colonoscopy patients. Ir J Med Sci 185:699–704.
OpenUrl
↵
1. Sultan SS
(2014) Patient-controlled sedation with propofol/remifentanil versus propofol/alfentanil for patients undergoing outpatient colonoscopy, a randomized, controlled double-blind study. Saudi J Anaesth 8(Suppl 1):S36–S40.
OpenUrl
↵
1. Eberl S,
2. Polderman JA,
3. Preckel B,
4. Kalkman CJ,
5. Fockens P,
6. Hollmann MW
(2014) Is “really conscious” sedation with solely an opioid an alternative to every day used sedation regimes for colonoscopies in a teaching hospital? Midazolam/fentanyl, propofol/alfentanil, or alfentanil only for colonoscopy: a randomized trial. Tech Coloproctol 18:745–752.
OpenUrl PubMed

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[1] ↵
Abd Ellatif ME,
Alfalah H,
Asker WA,
El Nakeeb AE,
Magdy A,
Thabet W,
et al.
(2016) Place of upper endoscopy before and after bariatric surgery: A multicenter experience with 3219 patients. World J Gastrointest Endosc 8:409–417.
OpenUrl

[2] Abd Ellatif ME,

[3] Alfalah H,

[4] Asker WA,

[5] El Nakeeb AE,

[6] Magdy A,

[7] Thabet W,

[8] et al.

[9] ↵
Levitt C,
Wei H
(2014) Supraglotic pulsatile jet oxygenation and ventilation during deep propofol sedation for upper gastrointestinal endoscopy in a morbidly obese patient. J Clin Anesth 26:157–159.
OpenUrl

[10] Levitt C,

[11] Wei H

[12] ↵
Borrat X,
Valencia JF,
Magrans R,
Gimenez-Mila M,
Mellado R,
Sendino O,
et al.
(2015) Sedation-analgesia with propofol and remifentanil: concentrations required to avoid gag reflex in upper gastrointestinal endoscopy. Anesth Analg 121:90–96.
OpenUrl

[13] Borrat X,

[14] Valencia JF,

[15] Magrans R,

[16] Gimenez-Mila M,

[17] Mellado R,

[18] Sendino O,

[19] et al.

[20] ↵
Cao S,
Li Y,
Wang L,
Cui J,
Jia N,
Li R,
et al.
(2016) Synergistic analgesic effect of propofol-alfentanil combination through detecting the inhibition of cAMP signal pathway. J Pharm Pharmacol 68:1170–1176.
OpenUrl

[21] Cao S,

[22] Li Y,

[23] Wang L,

[24] Cui J,

[25] Jia N,

[26] Li R,

[27] et al.

[28] ↵
Ozkan G,
Ince ME,
Eskin MB,
Erol G,
Kadan M,
Ozgur G,
et al.
(2016) Sedoanalgesia for cardioversion: comparison of alfentanil, remifentanil and fentanyl combined with propofol and midazolam: a prospective, randomized, double-blind study. Eur Rev Med Pharmacol Sci 20:1140–1148.
OpenUrl

[29] Ozkan G,

[30] Ince ME,

[31] Eskin MB,

[32] Erol G,

[33] Kadan M,

[34] Ozgur G,

[35] et al.

[36] ↵
Toman H,
Erkılınc A,
Kocak T,
et al.
(2016) Sedation for transesophageal echocardiography: comparison of propofol, midazolam and midazolam-alfentanil combination. Med Glas (Zenica) 13:18–24.
OpenUrl

[37] Toman H,

[38] Erkılınc A,

[39] Kocak T,

[40] et al.

[41] ↵
Petskul S,
Kitsiripant C,
Rujirojindakul P,
Chantarokorn A,
Jullabunyasit A,
Thinchana S
(2016) Prophylactic Low-Dose Ketamine to Prevent Post Anesthetic Shivering in Orthopedic Surgery: A Randomized-Controlled Study. J Med Assoc Thai 99:400–405.
OpenUrl

[42] Petskul S,

[43] Kitsiripant C,

[44] Rujirojindakul P,

[45] Chantarokorn A,

[46] Jullabunyasit A,

[47] Thinchana S

[48] ↵
Türk HŞ,
Aydoğmuş M,
Ünsal O,
Işıl CT,
Citgez B,
Oba S,
et al.
(2014) Ketamine versus alfentanil combined with propofol for sedation in colonoscopy procedures: a randomized prospective study. Turk J Gastroenterol 25:644–649.
OpenUrl

[49] Türk HŞ,

[50] Aydoğmuş M,

[51] Ünsal O,

[52] Işıl CT,

[53] Citgez B,

[54] Oba S,

[55] et al.

[56] ↵
Akhondzadeh R,
Ghomeishi A,
Nesioonpour S,
Nourizade S
(2016) A comparison between the effects of propofol-fentanyl with propofol-ketamine for sedation in patients undergoing endoscopic retrograde cholangiopancreatography outside the operating room. Biomed J 39:145–149.
OpenUrl PubMed

[57] Akhondzadeh R,

[58] Ghomeishi A,

[59] Nesioonpour S,

[60] Nourizade S

[61] ↵
Akça B,
Aydoğan-Eren E,
Canbay Ö,
Karagöz AH,
Üzümcügil F,
Ankay-Yilbaş A,
et al.
(2016) Comparison of efficacy of prophylactic ketamine and dexmedetomidine on postoperative bladder catheter-related discomfort. Saudi Med J 37:55–59.
OpenUrl Abstract/FREE Full Text

[62] Akça B,

[63] Aydoğan-Eren E,

[64] Canbay Ö,

[65] Karagöz AH,

[66] Üzümcügil F,

[67] Ankay-Yilbaş A,

[68] et al.

[69] ↵
Chandar R,
Jagadisan B,
Vasudevan A
(2015) Propofol-ketamine and propofol-fentanyl combinations for nonanesthetist-administered sedation. J Pediatr Gastroenterol Nutr 60:762–768.
OpenUrl

[70] Chandar R,

[71] Jagadisan B,

[72] Vasudevan A

[73] ↵
Kotsovolis G,
Karakoulas K,
Grosomanidis V,
Tziris N
(2015) Comparison between the combination of gabapentin, ketamine, lornoxicam, and local ropivacaine and each of these drugs alone for pain after laparoscopic cholecystectomy: a randomized trial. Pain Pract 15:355–363.
OpenUrl

[74] Kotsovolis G,

[75] Karakoulas K,

[76] Grosomanidis V,

[77] Tziris N

[78] ↵
Narayanan S,
Shannon A,
Nandalan S,
Jaitly V,
Greer S
(2015) Alternative sedation for the higher risk endoscopy: a randomized controlled trial of ketamine use in endoscopic retrograde cholangiopancreatography. Scand J Gastroenterol 50:1293–1303.
OpenUrl

[79] Narayanan S,

[80] Shannon A,

[81] Nandalan S,

[82] Jaitly V,

[83] Greer S

[84] Singh C,
Pandey RK,
Saksena AK,
Chandra G
(2014) A comparative evaluation of analgo-sedative effects of oral dexmedetomidine and ketamine: a triple-blind, randomized study. Paediatr Anaesth 24:1252–1259.
OpenUrl CrossRef PubMed

[85] Singh C,

[86] Pandey RK,

[87] Saksena AK,

[88] Chandra G

[89] Mathews TJ,
Churchhouse AM,
Housden T,
Dunning J
(2012) Does adding ketamine to morphine patient-controlled analgesia safely improve post-thoracotomy pain? Interact Cardiovasc Thorac Surg 14:194–199.
OpenUrl CrossRef PubMed

[90] Mathews TJ,

[91] Churchhouse AM,

[92] Housden T,

[93] Dunning J

[94] ↵
Mihaljevic S,
Mihaljevic L,
Cacic M
(2014) Sympathetic activity of S- ()-ketamine low doses in the epidural space. Braz J Anesthesiol 64:227–235.
OpenUrl

[95] Mihaljevic S,

[96] Mihaljevic L,

[97] Cacic M

[98] ↵
Ho WM,
Yen CM,
Lan CH,
Lin CY,
Yong SB,
Hwang KL,
et al.
(2012) Comparison between the recovery time of alfentanil and fentanyl in balanced propofol sedation for gastrointestinal and colonoscopy: a prospective, randomized study. BMC Gastroenterol 12:164.
OpenUrl PubMed

[99] Ho WM,

[100] Yen CM,

[101] Lan CH,

[102] Lin CY,

[103] Yong SB,

[104] Hwang KL,

[105] et al.

[106] ↵
Sahin L,
Sahin M,
Aktas O,
Kilic E,
Mandollu E
(2012) Comparison of propofol/ketamine versus propofol/alfentanil for dilatation and curettage. Clin Exp Obstet Gynecol 39:72–75.
OpenUrl PubMed

[107] Sahin L,

[108] Sahin M,

[109] Aktas O,

[110] Kilic E,

[111] Mandollu E

[112] ↵
Minoshima R,
Kosugi S,
Nishimura D,
Ihara N,
Seki H,
Yamada T,
et al.
(2015) Intra- and postoperative low-dose ketamine for adolescent idiopathic scoliosis surgery: a randomized controlled trial. Acta Anaesthesiol Scand 59:1260–1268.
OpenUrl CrossRef PubMed

[113] Minoshima R,

[114] Kosugi S,

[115] Nishimura D,

[116] Ihara N,

[117] Seki H,

[118] Yamada T,

[119] et al.

[120] ↵
Gholipour Baradari A,
Firouzian A,
Zamani Kiasari A,
Aarabi M,
Emadi SA,
Davanlou A,
et al.
(2016) Effect of Etomidate Versus Combination of Propofol-Ketamine and Thiopental-Ketamine on Hemodynamic Response to Laryngoscopy and Intubation: A Randomized Double Blind Clinical Trial. Anesth Pain Med, 6e30071.

[121] Gholipour Baradari A,

[122] Firouzian A,

[123] Zamani Kiasari A,

[124] Aarabi M,

[125] Emadi SA,

[126] Davanlou A,

[127] et al.

[128] Ghatak T,
Singh D,
Kapoor R,
Bogra J
(2012) Effects of addition of ketamine, fentanyl and saline with Propofol induction on hemodynamics and laryngeal mask airway insertion conditions in oral clonidine premedicated children. Saudi J Anaesth 6:140–144.
OpenUrl PubMed

[129] Ghatak T,

[130] Singh D,

[131] Kapoor R,

[132] Bogra J

[133] ↵
Baykal Tutal Z,
Gulec H,
Derelı N,
Babayıgıt M,
Kurtay A,
Inceoz H,
et al.
(2016) Propofol-ketamine combination: a choice with less complications and better hemodynamic stability compared to propofol? On a prospective study in a group of colonoscopy patients. Ir J Med Sci 185:699–704.
OpenUrl

[134] Baykal Tutal Z,

[135] Gulec H,

[136] Derelı N,

[137] Babayıgıt M,

[138] Kurtay A,

[139] Inceoz H,

[140] et al.

[141] ↵
Sultan SS
(2014) Patient-controlled sedation with propofol/remifentanil versus propofol/alfentanil for patients undergoing outpatient colonoscopy, a randomized, controlled double-blind study. Saudi J Anaesth 8(Suppl 1):S36–S40.
OpenUrl

[142] Sultan SS

[143] ↵
Eberl S,
Polderman JA,
Preckel B,
Kalkman CJ,
Fockens P,
Hollmann MW
(2014) Is “really conscious” sedation with solely an opioid an alternative to every day used sedation regimes for colonoscopies in a teaching hospital? Midazolam/fentanyl, propofol/alfentanil, or alfentanil only for colonoscopy: a randomized trial. Tech Coloproctol 18:745–752.
OpenUrl PubMed

[144] Eberl S,

[145] Polderman JA,

[146] Preckel B,

[147] Kalkman CJ,

[148] Fockens P,

[149] Hollmann MW

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