Page last updated: 2024-11-03

propofol and Barrett Esophagus

propofol has been researched along with Barrett Esophagus in 1 studies

Propofol: An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.
propofol : A phenol resulting from the formal substitution of the hydrogen at the 2 position of 1,3-diisopropylbenzene by a hydroxy group.

Barrett Esophagus: A condition with damage to the lining of the lower ESOPHAGUS resulting from chronic acid reflux (ESOPHAGITIS, REFLUX). Through the process of metaplasia, the squamous cells are replaced by a columnar epithelium with cells resembling those of the INTESTINE or the salmon-pink mucosa of the STOMACH. Barrett's columnar epithelium is a marker for severe reflux and precursor to ADENOCARCINOMA of the esophagus.

Research

Studies (1)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Eberl, S1
Preckel, B1
Bergman, JJ1
Hollmann, MW1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Comparison of Dexmedetomidine Versus Propofol for Use in Intravenous Sedation[NCT03255824]Phase 4144 participants (Actual)Interventional2018-03-20Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cooperation Scale

Surgeon satisfaction is measured by the Cooperation Scale. Minimum score of 0 and maximum of 9. Higher indicates a worse outcome (i.e., discomfort and movement) (NCT03255824)
Timeframe: 15 minutes following surgery

Interventionscore on a scale (Mean)
Propofol Group2.07
Dexmedetomidine Group1.47

Hemodynamic Stability - Blood Pressure

"To compare the differences in hemodynamic stability using a D/M combination compared to the MFP combination. (In this study, a deviation from baseline by 20% or greater will be considered clinically significant)~a. Change in blood pressure (NIBP) (change ≥ 20%) Blood pressure is presented as mean arterial pressure" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes

Interventionmm Hg (Mean)
Propofol Group78
Dexmedetomidine Group88

Hemodynamic Stability - Heart Rate

"To compare the differences in hemodynamic stability using a D/M combination compared to the MFP combination. (In this study, a deviation from baseline of both the blood pressure and heart rate by 20% or greater will be considered clinically significant)~a. Change in heart rate (change ≥ 20 BPM)" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes

Interventionbeats per minute (Mean)
Propofol Group77
Dexmedetomidine Group62

Patient Satisfaction

"Visual Analog Scale was used to measure overall satisfaction with the IV sedation and memory of the procedure.~The minimum score is 0 (not satisfied at all) to a maximum score of 100 (completely satisfied).~A higher score is a better outcome." (NCT03255824)
Timeframe: 30 minutes following surgery

Interventionscore on a scale (Mean)
Propofol Group93.5
Dexmedetomidine Group86.6

Postoperative Recovery Time - Ambulation

"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Time to ambulation (to recovery room) will be recorded" (NCT03255824)
Timeframe: After the procedure until ambulation, up to 20 minutes

Interventionminutes (Mean)
Propofol Group10.8
Dexmedetomidine Group11.6

Postoperative Recovery Time - Duration of Procedure

"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Duration of procedure will be recorded" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes

InterventionMINUTES (Mean)
Propofol Group24.2
Dexmedetomidine Group22.1

Postoperative Recovery Time - Time to Discharge

"To assess whether a D/M combination increases postoperative recovery time when compared the MFP combination.~a. Time to discharge or virtual discharge (comparative statistic) - Aldrete score of ≥ 9 or pre-procedure score is met The minimum score is 0 and the maximum score is 10. A higher score indicates wakefulness, hemodynamically stable, and able to ambulate.~ii. All subjects are required to stay a minimum of 30 minutes after the end of the procedure. Therefore, at least two postoperative vital sign readings will be obtained. If the subject meets discharge criteria prior to 30 minutes, this time will be the virtual discharge time" (NCT03255824)
Timeframe: After the procedure until discharge, up to 45 minutes

Interventionminutes (Mean)
Propofol Group26.5
Dexmedetomidine Group29.9

Reaction to Administration of Local Anesthesia

"To compare the groups regarding movement of the patient during the first injection of local anesthesia during the IVS at time of injection measured using the Behavioral Pain Scale - Non-Intubated patients.~The minimum value is 3 and the maximum value is 12. Higher scores mean a worse outcome (i.e., more pain and movement on injection)" (NCT03255824)
Timeframe: During the first injection of local anesthesia during surgery

Interventionscore on a scale (Mean)
Propofol Group3.9
Dexmedetomidine Group4.2

Respiratory Depression - Oxygen Saturation

"To assess whether a D/M combination leads to a significant change in respiratory depression compared to the MFP combination.~a. Change in arterial oxygen saturation (as measured by pulse oximeter) i. number of events of ≤92%" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes

InterventionSaturation percent (Mean)
Propofol Group98.7
Dexmedetomidine Group98.9

Respiratory Depression - Respiratory Rate

"To assess whether a D/M combination leads to a significant change in respiratory depression compared to the MFP combination.~a. Change in respiratory rate (change ≥ 20%)" (NCT03255824)
Timeframe: During the procedure, up to 40 minutes

Interventionbreaths per minute (Mean)
Propofol Group18
Dexmedetomidine Group18

Respiratory Events Requiring Intervention

To compare the groups regarding the number of respiratory events requiring intervention, described as: Chin lift/jaw thrust, Tongue thrust, Yankauer suctioning, Positive pressure oxygen administration, Placement of an oral or nasal airway. (NCT03255824)
Timeframe: During surgery

InterventionParticipants (Count of Participants)
Propofol Group17
Dexmedetomidine Group2

Surgeon Satisfaction - Survey

"Surgeon satisfaction was measured by the surgeon grading the Operating Conditions scale.~The minimum value was 0 and the maximum was 3. 0=very poor, 1=poor, 2=fair, 3=good" (NCT03255824)
Timeframe: 15 minutes following surgery

Interventionscore on a scale (Mean)
Propofol Group2.8
Dexmedetomidine Group2.9

Trials

1 trial available for propofol and Barrett Esophagus

ArticleYear
Safety and effectiveness using dexmedetomidine versus propofol TCI sedation during oesophagus interventions: a randomized trial.
    BMC gastroenterology, 2013, Dec-30, Volume: 13

    Topics: Barrett Esophagus; Catheter Ablation; Conscious Sedation; Dexmedetomidine; Esophagoscopy; Esophagus;

2013