{"id":14207,"date":"2023-05-24T14:08:40","date_gmt":"2023-05-24T12:08:40","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=14207"},"modified":"2023-05-24T14:08:41","modified_gmt":"2023-05-24T12:08:41","slug":"consensus-guidelines-recommend-monitored-anesthesia-care-for-most-ercps","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/consensus-guidelines-recommend-monitored-anesthesia-care-for-most-ercps\/","title":{"rendered":"Consensus Guidelines Recommend Monitored Anesthesia Care for Most ERCPs"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Adequate patient sedation is essential for the successful completion of ERCP; however, delivery methods of anesthesia vary between providers, with most endoscopists favoring deep sedation without endotracheal intubation (monitored anesthesia care) and some anesthesiologists favoring general anesthesia. Although a substantial amount of literature exists on the safety and efficacy of these two anesthesia approaches, guidelines written together by gastroenterology and anesthesia physicians have not been previously published.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In this paper, Azimaraghi et al convened a panel of 12 anesthesiology and ERCP experts to provide ERCP anesthesia recommendations using a modified Delphi approach. The authors ultimately concluded that \u201cmonitored anesthesia care is the favoured anesthesia plan for ERCP.\u201d However, the authors also developed some best practice recommendations and consensus statements based on their expert assessment of the available literature:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u201cMonitored anaesthesia care increases the risk of intraoperative apnoea more than general anaesthesia, but this expected condition can be successfully treated by the anaesthetist. Avoiding tracheal intubation during ERCP has beneficial effects, particularly in patients with severe COPD or asthma.\u201d (<em>Best practice recommendation<\/em>)<\/li>\n\n\n\n<li>\u201cThe expert panel concluded that monitored anaesthesia care is preferred to general anaesthesia for ERCP in patients with recent diagnosis of myocardial infarction or severe heart failure.\u201d (<em>Best practice recommendation<\/em>)<\/li>\n\n\n\n<li>\u201cShort ERCP procedures of low complexity should preferably be conducted under monitored anaesthesia care compared with general anaesthesia.\u201d (<em>Consensus statement<\/em>)<\/li>\n\n\n\n<li>\u201cGeneral anaesthesia is preferred in procedures that carry an increased complication risk (aspiration and massive bleeding), endoscopic ultrasound-guided trans-luminal access\/drainage, ERCP with concurrent gastric outlet obstruction, prolonged cases with high procedural complexity, and massive post-sphincterotomy bleeding.\u201d (<em>Best practice recommendation<\/em>)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Adequate patient sedation is essential for the successful completion of ERCP; however, delivery methods of anesthesia vary between providers, with most endoscopists favoring deep sedation without endotracheal intubation (monitored anesthesia care) and some anesthesiologists favoring general anesthesia. Although a substantial amount of literature exists on the safety and efficacy of these two anesthesia approaches, guidelines &#8230; <a title=\"Consensus Guidelines Recommend Monitored Anesthesia Care for Most ERCPs\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/consensus-guidelines-recommend-monitored-anesthesia-care-for-most-ercps\/\" aria-label=\"Read more about Consensus Guidelines Recommend Monitored Anesthesia Care for Most ERCPs\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[3723,3724,381,2128],"class_list":["post-14207","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-anesthesia","tag-copd","tag-ercp","tag-pancreatobiliary"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/14207","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=14207"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=14207"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=14207"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}