Digestive Diseases and Sciences

, Volume 59, Issue 3, pp 513–519

ERCP: The Unresolved Question of Endotracheal Intubation

Review

Abstract

The anesthesia community is still divided as to the appropriate airway management in patients undergoing endoscopic retrograde cholangiopancreatography. Increasingly, gastroenterologists are comfortable with deep sedation (normally propofol) without endotracheal intubation. There are no comprehensive reviews addressing the various pros and cons of an un-intubated airway management. It is hoped that the present review will benefit both anesthesia providers and gastroenterologists. The reasons to avoid routine endotracheal intubation and the approaches for an un-intubated anesthetic management are discussed. The special situations where endotracheal intubation is the preferred approach are mentioned. Many special techniques to manage airway are illustrated.

Keywords

ERCP Sedation Airway Endoscopic retrograde cholangiopancreatography 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Clinical Anesthesiology and Critical Care, Perelman School of MedicineHospital of the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of AnesthesiaPost Graduate Institute of Medical Education and Research (PGIMER)ChandigarhIndia

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