The purpose of this study is to determine the effects of patient positioning during colonoscopy on patient safety and diagnostic outcome.
Sedative drugs are widely-used during endoscopic procedures. The administration of these drugs contain the potential hazard of breathing and cardiac complications. Moreover it is well-known that the dorsal position is in some ways associated to breathing problems while patients are asleep. We assume this also to be true related to short anesthesia during colonoscopy. Patient positioning may therefore have a positive effect on the safety during colonoscopy by reducing the absolute time that sedated patients spend in a supine position. We compiled a randomized trial which compares the appearance of breathing and cardiovascular complications by performing colonoscopy either in a dorsal or in a left lateral position.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
412
Position the patient either in a left lateral position during colonoscopy
Endoscopy Section, Department for Internal Medicine and Gastroenterology, Technical University Munich
Munich, Bavaria, Germany
Krankenhaus Prien
Prien am Chiemsee, Bavaria, Germany
frequency of breathing and cardiac problems (decrease of saturation, hypotension, bradycardia) during colonoscopy
saturation and heart rate will be measured continuously, blood pressure will be measures all 3 minutes
Time frame: participants will be followed for the duration of colonoscopy during hospital stay an expected average of 1 hour
Adenoma detection rate
Adenoma detection rate between the two arms will be compared at the end of the investigation.
Time frame: 1 day
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.