Prospective Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Feb 25, 2016; 8(4): 232-238
Published online Feb 25, 2016. doi: 10.4253/wjge.v8.i4.232
Efficiency and patient experience with propofol vs conventional sedation: A prospective study
Patrick Thornley, Mohammad Al Beshir, James Gregor, Andreas Antoniou, Nitin Khanna
Patrick Thornley, Michael G. DeGroote School of Medicine, MsMaster University, Hamilton, Ontario L8S 4L8, Canada
Mohammad Al Beshir, Division of Gastroenterology, King Fahad Specialist Hospital - Dammam, Dammam 31444, Saudi Arabia
James Gregor, Nitin Khanna, Division of Gastroenterology, Western University, London, Ontario N6A 3K7, Canada
Andreas Antoniou, Department of Anesthesia and Perioperative Medicine, Western University, London, Ontario N6A 3K7, Canada
Author contributions: Thornley P, Al Beshir M, Gregor J, Antoniou A and Khanna N contributed to study conception and design; Thornley P, Al Beshir M and Khanna N contributed to data acquisition, data analysis and interpretation, and writing of the article; Gregor J, Antoniou A and Khanna N contributed to editing, reviewing and final approval of the article.
Supported by Division of Gastroenterology at Western University (in part), Canada.
Institutional review board statement: The study was reviewed and approved by the Western University Institutional Review Board.
Informed consent statement: All study participants provided informed verbal and written consent prior to study enrolment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Nitin Khanna, MD, Division of Gastroenterology, Western University, 529 McGarrell Place, London, Ontario N6A 3K7, Canada. nitin.khanna@sjhc.london.on.ca
Telephone: +1-519-6466125 Fax: +1-519-6466130
Received: October 2, 2015
Peer-review started: October 2, 2015
First decision: November 5, 2015
Revised: December 7, 2015
Accepted: December 19, 2015
Article in press: December 23, 2015
Published online: February 25, 2016
Core Tip

Core tip: There is little research examining sedation type in light of patient satisfaction and overall efficiency of colonoscopy. Our novel prospective study evaluated the total procedure room time and patient satisfaction in a high-volume endoscopy center, which performs colonoscopy using conventional sedation and propofol sedation. A statistically significant reduction in total room time with conventional sedation (midazolam/fentanyl) when compared to anaesthetist-administered propofol was demonstrated. Patients reported less procedure pain when receiving propofol sedation compared to conventional sedation. Special discussion emphasizes the need to further examine strategies to maximize endoscopy unit efficiency to respond to increasing patient demand, while maximizing patient satisfaction.