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Dig Dis Sci. 2009 May;54(5):1035-40. doi: 10.1007/s10620-008-0452-2. Epub 2008 Nov 12.

Risk factors for hypoxemia during ambulatory gastrointestinal endoscopy in ASA I-II patients.

Author information

1
Department of Gastroenterology and Hepatology, Digestive Disease Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A 30, Cleveland, OH 44195, USA.

Abstract

BACKGROUND:

Most studies identify the American Society of Anesthesiology (ASA) classification as the most significant risk factor for hypoxemia. The risk factors operative within ASA I and II patients are not well defined. Therefore, we analyzed prospectively collected data to identify the risk factors of hypoxemia in such patients.

METHODS:

A combination of a narcotic and benzodiazepine was used for sedation and oxygen was supplemented if hypoxemia (oxygen saturation <or=90%) developed. Univariate and multivariate analyses were performed and correlations estimated for predetermined clinical variables.

RESULTS:

40 of 79 patients (51%) developed hypoxemia, which occurred more frequently in the obese (71%; 10/14) than the nonobese (46%; 30/65) group (P=0.08). On multivariate analysis, the odds ratios (OR) and 95% confidence intervals (CI) for developing hypoxemia were age >or= 60 years 4.5 (1.4-14.3) P=0.01, and incremental 25-mg doses of meperidine 2.6 (1.02-6.6) P = 0.04. Body mass index (BMI) significantly correlated with the number of hypoxemic episodes (rho 0.26, 95% CI 0.04-0.48, P=0.02).

CONCLUSION:

In ASA I and II patients, BMI significantly correlated with the number of hypoxemic episodes, whereas age >or= 60 years and meperidine dose were significant risk factors for hypoxemia.

PMID:
19003534
DOI:
10.1007/s10620-008-0452-2
[Indexed for MEDLINE]

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