Satisfaction With Nurse Administered Propofol Sedation vs. Midazolam With Fentanyl Sedation for Endoscopy

Nurse Administered Propofol Sedation vs. Standard Therapy for Colonoscopy in Patients With IBD. A Randomised Controlled Study on Satisfaction and Adherence to Treatment Program.

Sedation for endoscopy is a service more than a necessity. Therefore it should be patient driven. Patients with inflammatory bowel disease (IBD) undergoes life long endoscopic control. Therefore, satisfaction with the procedure experience is paramount for patients with IBD. Investigators wish to study the feasibility and the effect on patient experience of two drugs. Propofol administered by endoscopy nurses (NAPS) and conventional therapy with a combination of fentanyl and midazolam. Investigators hypothesize that patients sedated with propofol has a better procedure experience, that a well performed sedation equals a better experience and that NAPS is as feasible as fentanyl with midazolam sedation.

Inclusion Criteria:

• Inflammatory Bowel Disease (IBD) or suspected IBD
• Planned Endoscopy
• Candidate for propofol sedation
• willingness to be randomized
• Ability to complete questionnaire

Exclusion Criteria:

• Allergy to drugs
• American Society of Anesthesiologists Class III
• Body Mass Index > 35
• Ventricular retention
• Acute condition
• Severe Chronic obstructive pulmonary disease
• Sleep apnea
• Potentially difficult airway or previous difficulty with anesthesia
• Pregnancy
• <18 years