Evaluating the Safety Profile of Propofol Sedation in Patients Undergoing Endoscopic Variceal Band Ligation: A Comprehensive Analysis

Objective: To find out the incidence of complications of Endoscopic Variceal Band Ligation, when done under Propofol sedation. Methods: This was a retrospective observational study, which was conducted in the Gastroenterology department, PAF Hospital. From 1st Feb 2019 to 30th June 2023. Patients...

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Main Authors: Arslan Shahzad, Minahil Ramzan, Muhammad Tahir, Muhammad Zuhair Tahir, Muhammad Zubair Tahir, Muhammad Babar Shahzad
Format: Article
Language:English
Published: Rawalpindi Medical University 2024-09-01
Series:Journal of Rawalpindi Medical College
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/2346
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author Arslan Shahzad
Minahil Ramzan
Muhammad Tahir
Muhammad Zuhair Tahir
Muhammad Zubair Tahir
Muhammad Babar Shahzad
author_facet Arslan Shahzad
Minahil Ramzan
Muhammad Tahir
Muhammad Zuhair Tahir
Muhammad Zubair Tahir
Muhammad Babar Shahzad
author_sort Arslan Shahzad
collection DOAJ
description Objective: To find out the incidence of complications of Endoscopic Variceal Band Ligation, when done under Propofol sedation. Methods: This was a retrospective observational study, which was conducted in the Gastroenterology department, PAF Hospital. From 1st Feb 2019 to 30th June 2023. Patients who underwent Endoscopic Variceal Band Ligation were included in the study. Anesthesia was provided using Propofol and Midazolam. Endoscopic variceal band ligation was carried out by a consultant gastroenterologist. Incidence of complications during the procedure and within 48 hours was noted. Results: Out of 385 patients included in the study, re-bleeding was reported in 8 patients (2.1%), bacteremia in 8 patients (2.1%), hypotension in 77 patients (20%), and hypoxia in 56 patients (14.5%).  The rest of the complications such as perforation, Mallory-Weis tear, cardiac arrhythmias, and myocardial infarction were not observed in any patient. Conclusion: Propofol is a safe drug for deep sedation during Endoscopic Variceal Band Ligation associated with reduced complication risk.
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institution Kabale University
issn 1683-3562
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language English
publishDate 2024-09-01
publisher Rawalpindi Medical University
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series Journal of Rawalpindi Medical College
spelling doaj-art-831939d66f244cafb8ba9884fe8bc0cd2025-02-06T08:35:58ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702024-09-0128310.37939/jrmc.v28i3.2346Evaluating the Safety Profile of Propofol Sedation in Patients Undergoing Endoscopic Variceal Band Ligation: A Comprehensive AnalysisArslan Shahzad0Minahil RamzanMuhammad Tahir Muhammad Zuhair TahirMuhammad Zubair Tahir1Muhammad Babar Shahzad Fazaia Medical CollegeFaisalabad Medical University Objective: To find out the incidence of complications of Endoscopic Variceal Band Ligation, when done under Propofol sedation. Methods: This was a retrospective observational study, which was conducted in the Gastroenterology department, PAF Hospital. From 1st Feb 2019 to 30th June 2023. Patients who underwent Endoscopic Variceal Band Ligation were included in the study. Anesthesia was provided using Propofol and Midazolam. Endoscopic variceal band ligation was carried out by a consultant gastroenterologist. Incidence of complications during the procedure and within 48 hours was noted. Results: Out of 385 patients included in the study, re-bleeding was reported in 8 patients (2.1%), bacteremia in 8 patients (2.1%), hypotension in 77 patients (20%), and hypoxia in 56 patients (14.5%).  The rest of the complications such as perforation, Mallory-Weis tear, cardiac arrhythmias, and myocardial infarction were not observed in any patient. Conclusion: Propofol is a safe drug for deep sedation during Endoscopic Variceal Band Ligation associated with reduced complication risk. https://www.journalrmc.com/index.php/JRMC/article/view/2346
spellingShingle Arslan Shahzad
Minahil Ramzan
Muhammad Tahir
Muhammad Zuhair Tahir
Muhammad Zubair Tahir
Muhammad Babar Shahzad
Evaluating the Safety Profile of Propofol Sedation in Patients Undergoing Endoscopic Variceal Band Ligation: A Comprehensive Analysis
Journal of Rawalpindi Medical College
title Evaluating the Safety Profile of Propofol Sedation in Patients Undergoing Endoscopic Variceal Band Ligation: A Comprehensive Analysis
title_full Evaluating the Safety Profile of Propofol Sedation in Patients Undergoing Endoscopic Variceal Band Ligation: A Comprehensive Analysis
title_fullStr Evaluating the Safety Profile of Propofol Sedation in Patients Undergoing Endoscopic Variceal Band Ligation: A Comprehensive Analysis
title_full_unstemmed Evaluating the Safety Profile of Propofol Sedation in Patients Undergoing Endoscopic Variceal Band Ligation: A Comprehensive Analysis
title_short Evaluating the Safety Profile of Propofol Sedation in Patients Undergoing Endoscopic Variceal Band Ligation: A Comprehensive Analysis
title_sort evaluating the safety profile of propofol sedation in patients undergoing endoscopic variceal band ligation a comprehensive analysis
url https://www.journalrmc.com/index.php/JRMC/article/view/2346
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