The day of tracheotomy was not included in the analysis because of the expected effect of the tracheotomy procedure on sedation requirements.
We found that the presence of a written procedure on sedation management did not reduce the practice variation.
Also, the great majority of the individuals inquired (78.7%) reported that this is a painless procedure, regardless of sedation, age or gender (Table 3).
Initially, the trainees were instructed to understand indications, processes of procedures, medication of sedation, and descriptions of findings followed by observation of colonoscopy performed by the faculty member or professor for 2 weeks.
However, standard operating procedures for sedation were introduced before the start of the study period.
Bronchial colonization during the procedure and (prolonged) continuation of sedation after the procedure will furthermore increase the occurrence of NP [ 28], a fact that was also seen in our patients.
In two cases (3.7% of all 57 procedures), the level of sedation obtained was low (7 and 8, respectively) and a nurse was needed for physical restrain.
Mortality analysis was performed between two groups (survivors and nonsurvivors); age, invasive procedures, total duration of sedation and MV, medical cause of admission, and KPRC infection were assessed as risk factors.
Linear regression will be used to examine the relationship between the duration of sedation, procedure type, patient characteristics and occurrence of an adverse event.
Tolerance to fentanyl developed before the procedure could limit the interpretation of results, but length of sedation before procedure was short and dose was controlled by pain scale.
Afterwards, the introduction of the Novaflex delivery catheter enabled the use of smaller introducers (18/19F) and consecutively the performance of a pure percutaneous procedure in conscious sedation (closure of the access site by Prostar XL, Abbott Vascular, Chicago, IL, USA).
