Skip to main content
SpringerLink
Log in

Airway Devices in GI Endoscopy

  • Chapter
  • First Online:
Out of Operating Room Anesthesia

  • 1221 Accesses

Abstract

This chapter discusses the currently available airway management options in the management of patients undergoing upper gastrointestinal (GI) under deep sedation. Some of the devices are approved by the Food and Drug Administration (FDA), while others are waiting for the approval. While prospective randomized controlled trials studying the safety and efficacy of the methods discussed are not available, sufficient retrospective data is published. It is hoped that adaptation of some of the methods described will increase the safety during GI endoscopy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Metzner J, Domino KB. Risks of anesthesia or sedation outside the operating room: the role of the anesthesia care provider. Curr Opin Anaesthesiol. 2010;23(4):523–31.

    Article  PubMed  Google Scholar 

  2. Metzner J, Posner KL, Domino KB. The risk and safety of anesthesia at remote locations: the US closed claims analysis. Curr Opin Anaesthesiol. 2009;22(4):502–8.

    Article  PubMed  Google Scholar 

  3. Metzner J, Posner KL, Lam MS, Domino KB. Closed claims’ analysis. Best Pract Res Clin Anaesthesiol. 2011;25(2):263–76.

    Article  PubMed  Google Scholar 

  4. Goudra B, Nuzat A, Sngh PM, Borle A, Carlin A, Gouda G. Association between type of sedation and the adverse events associated with gastrointestinal endoscopy: an analysis of 5 years’ data from a tertiary center in the USA. Clin Endosc. 2016. doi: 10.5946/ce.2016.019.

  5. Goudra B, Nuzat A, Singh PM, Gouda GB, Carlin A, Manjunath AK. Cardiac arrests in patients undergoing gastrointestinal endoscopy: a retrospective analysis of 73,029 procedures. Saudi J Gastroenterol Off J Saudi Gastroenterol Assoc. 2015;21(6):400–11.

    Article  Google Scholar 

  6. Goudra BG, Singh PM, Gouda G, Borle A, Gouda D, Dravida A, et al. Safety of Non-anesthesia Provider-Administered Propofol (NAAP) sedation in advanced gastrointestinal endoscopic procedures: comparative meta-analysis of pooled results. Dig Dis Sci. 2015;60(9):2612–27.

    Article  CAS  PubMed  Google Scholar 

  7. Wernli KJ, Brenner AT, Rutter CM, Inadomi JM. Risks associated with anesthesia services during colonoscopy. Gastroenterology [Internet]. [cited 2016 Jan 3]. Available from: http://www.sciencedirect.com/science/article/pii/S0016508515018132.

  8. Ellis H, Lawson A. Anatomy for anaesthetists. 9th ed. Chichester: Wiley-Blackwell; 2013. 360 p.

    Book  Google Scholar 

  9. Goudra B, Singh P, Sinha A. Outpatient endoscopic retrograde cholangiopancreatography: safety and efficacy of anesthetic management with a natural airway in 653 consecutive procedures. Saudi J Anaesth. 2013;7(3):259.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Goudra B, Singh PM. ERCP: the unresolved question of endotracheal intubation. Dig Dis Sci. 2014;59(3):513–9.

    Article  PubMed  Google Scholar 

  11. Goudra BG, Singh PM, Penugonda LC, Speck RM, Sinha AC. Significantly reduced hypoxemic events in morbidly obese patients undergoing gastrointestinal endoscopy: predictors and practice effect. J Anaesthesiol Clin Pharmacol. 2014;30(1):71–7.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Goudra BG. Comparison of acoustic respiration rate, impedance pneumography and capnometry monitors for respiration rate accuracy and apnea detection during GI endoscopy anesthesia. Open J Anesthesiol. 2013;03(02):74–9.

    Article  Google Scholar 

  13. Levitt C, Wei H. Supraglotic pulsatile jet oxygenation and ventilation during deep propofol sedation for upper gastrointestinal endoscopy in a morbidly obese patient. J Clin Anesth. 2014;26(2):157–9.

    Article  PubMed  Google Scholar 

  14. Goudra BG, Penugonda LC, Sinha A. A novel way of anesthetizing and maintaining airway/ventilation in an ultra-morbidly obese patient presenting for upper GI endoscopy. J Clin Anesth. 2012;24(7):604–5.

    Article  PubMed  Google Scholar 

  15. Goudra B, Chandramouli M, Singh P, Sandur V. Goudra ventilating bite block to reduce hypoxemia during endoscopic retrograde cholangiopancreatography. Saudi J Anaesth. 2014;8(2):299.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Goudra bite block for upper gastrointestinal endoscopy. PubMed – NCBI [Internet]. [cited 2016 Mar 21]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25657763.

  17. Testing the efficacy and safety of the WEI Nasal Jet – full text view. ClinicalTrials.gov [Internet]. [cited 2016 Mar 21]. Available from: https://clinicaltrials.gov/ct2/show/NCT02005406.

Download references

Author information

Authors and Affiliations

  1. Department of Anesthesiology and Critical Care Medicine, Hospital of the University of Pennsylvania, 3400 Spruce Street, 5042 Silverstein Building, Philadelphia, PA, 19104, USA

    Basavana Goudra MD, FRCA, FCARCSI

  2. Department of Anesthesiology, Critical Care and Pain Medicine, All India Institute of Medical Sciences, New Delhi, India

    Preet Mohinder Singh MD, DNB, MNAMS

Authors
  1. Basavana Goudra MD, FRCA, FCARCSI
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Preet Mohinder Singh MD, DNB, MNAMS
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Basavana Goudra MD, FRCA, FCARCSI .

Editor information

Editors and Affiliations

  1. Associate Professor of Anesthesiology and Critical Care Medicine Perelman School of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA

    Basavana G. Goudra

  2. All India Inst. Med. Sci. (AIIMS), New Delhi, Delhi, India

    Preet Mohinder Singh

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Goudra, B., Singh, P.M. (2017). Airway Devices in GI Endoscopy. In: Goudra, B.G., Singh, P.M. (eds) Out of Operating Room Anesthesia. Springer, Cham. https://doi.org/10.1007/978-3-319-39150-2_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-39150-2_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39148-9

  • Online ISBN: 978-3-319-39150-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation