120 / 242
120
Chapter 9
Figure 2.
Modified Aldrete scores at 0, 30 and 60 min after procedure
*P<0.05 vs. propofol. Data are median, IQR and range. Aldrete scores are minimum 0 to maximum 10. Discharge
allowed when > 9.
DISCUSSION
Dexmedetomidine combined with alfentanil caused less satisfaction than propofol among
patients and endoscopists and was less safe in respect of haemodynamic effects compared
with TCI propofol combined with alfentanil during and after endoscopic oesophageal
procedures. Patients complained mainly about insufficient sedation during the procedure
and a hangover of sedative side-effects (drowsiness and grogginess) after the procedure.
Endoscopists complained about inadequately sedated patients making the procedure
more difficult.