Implementation differences in the gastrointestinal endoscopy sedation applications: Anesthesiologists and non-anesthesiologists [Gastrointestinal endoskopi uygulamalarinda sedasyon uygulama farkliliklari: Anestezistler ve anestezist olmayanlar]

Objectives: sedoanalgesia is performed in endoscopic surgeries by anesthesiologists or non-anaesthesiologists. the objective of this study was to compare the differences in sedoanalgesia regimens applied by anaesthesiologists or non-anaesthesiologists during gastroscopyl colonoscopy and the consequent hemodynamic side effects. method: the sedoanalgesic drugs administered,their doses,surgical times and hemodynamic side effects during endoscopy were compared retrospectively between anaesthesiologists (group a) and non-anaesthesiologists (group b) in surgical endoscopy unit. results: mean age of patients in group a or group b was 54.82±17.02 years and 52.00±15.47 years (p<0.05),respectively. additional procedure was performed in patients in group a and 178 patienst in group b (p=0.239). mean surgical time was 14.42±8.5 min and 15.21±8.6 min (p=0.265) in group a and group b,respectively. mean dose of midazolam in group a or group b was 1.4±0.68 mg and 2.8±0.87 mg (p<0.05),respectively. conclusion: non-anaesthesiologists prefer using benzodiazepine combinations during endoscopy and perform flumazenil antagonism for recovery. on the other hand,anaesthesiologists generally prefer propofol which does not require antagonism. close monitorization is recommended for hemodynamic side effects. although additional procedure was performed in sedoanalgesia performed by anaesthesiologists,mean surgical time was statistically shortened.