<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-0108</journal-id>
<journal-title><![CDATA[Revista Española de Enfermedades Digestivas]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. esp. enferm. dig.]]></abbrev-journal-title>
<issn>1130-0108</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Patología Digestiva]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-01082018000400003</article-id>
<article-id pub-id-type="doi">10.17235/reed.2018.5287/2017</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio prospectivo de los factores asociados a una mala tolerancia a la colonoscopia ambulatoria bajo sedación consciente]]></article-title>
<article-title xml:lang="en"><![CDATA[Prospective study of the factors associated with poor tolerance to ambulatory colonoscopy under conscious sedation]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grilo-Bensusan]]></surname>
<given-names><![CDATA[Israel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Martín]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Mesa]]></surname>
<given-names><![CDATA[Remedios]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguado-Álvarez]]></surname>
<given-names><![CDATA[Valle]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Agencia Sanitaria Bajo Guadalquivir Hospital de Alta Resolución de Écija Departamento de Aparato Digestivo]]></institution>
<addr-line><![CDATA[Écija, Sevilla ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Agencia Sanitaria Bajo Guadalquivir Hospital de Alta Resolución de Écija Departamento de Área de Consultas Externas y Hospitalización]]></institution>
<addr-line><![CDATA[Écija, Sevilla ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>110</volume>
<numero>4</numero>
<fpage>223</fpage>
<lpage>230</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-01082018000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-01082018000400003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-01082018000400003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Antecedentes:  la sedación consciente con benzodiacepinas y opiáceos para la colonoscopia es una práctica clínica muy extendida.  Objetivo:  determinar la tolerancia del paciente a la colonoscopia y los factores asociados con una peor tolerancia.  Métodos:  estudio prospectivo unicéntrico descriptivo de los pacientes sometidos a colonoscopia ambulatoria bajo sedación consciente. Se valoró el dolor mediante una escala visual analógica de 0 a 100 y cualitativamente.  Resultados:  completaron el estudio 300 pacientes, 138 (46%) de ellos eran hombres con una edad mediana de 54 años (p25-75: 45-64). La tolerancia fue buena en 273 casos (91%). El valor mediano de la tolerancia fue 13 (p25-p75: 4-33). Se consideró el dolor como leve en 215 (71,7%), moderado en 57 (19%) e intenso en 28 (9,3%). En el estudio univariante se asoció mayor dolor al género femenino, a la ansiedad, a la indicación, al tiempo y la dificultad de la exploración y a las dosis de sedantes. En el estudio multivariante la indicación (OR 2,92, IC 95% = 1,03-8,2; p &lt; 0,05) y la dificultad de la exploración (OR 4,68; IC 95% = 1,6-13,6; p &lt; 0,01) fueron significativas. Se registraron complicaciones en 16 pacientes (5,3%), todas ellas menores.  Conclusiones:  la tolerancia de los pacientes sometidos a una colonoscopia ambulatoria bajo sedación consciente es buena en la mayoría de los casos y con complicaciones infrecuentes y menores. Se asocia una peor tolerancia al sexo femenino, a la ansiedad previa, a la indicación, a una exploración difícil y de mayor duración y a menores dosis de sedantes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  conscious sedation with benzodiazepines and opiates for colonoscopy is a widespread clinical practice.  Objective:  to determine the patient's tolerance to colonoscopy and identify the factors associated with lower tolerance.  Methods:  a prospective, single-center, descriptive study of patients undergoing ambulatory colonoscopy under conscious sedation. The pain was assessed using a visual analogue scale with a score of 0 to 100 and also qualitatively.  Results:  three hundred patients with a median age of 54 years completed the study (p25-75: 45-64); 138 were men (46%). Tolerance was good in 273 cases (91%). The median value of tolerance was 13 (p25-p75: 4-33). Pain was considered as mild in 215 (71.7%), moderate in 57 (19%) and intense in 28 (9.3%). In the univariate study, greater pain was associated with females, anxiety, the indication for the procedure, the length of time and difficulty of the examination, and the doses of sedatives. In the multivariate study, both the indication (OR 2.92, 95% CI = 1.03-8.2, p &lt; 0.05) and the difficulty of the examination (OR 4.68, 95% CI = 1.6-13.6, p &lt; 0.01) were significant. Complications were found in 16 patients (5.3%), although all of them were insignificant.  Conclusions:  tolerance of patients undergoing ambulatory colonoscopy under conscious sedation is good in most cases and complications are infrequent and minor. A worse tolerance to the test is associated with women patients, individuals with anxiety prior to colonoscopy, indication, difficult and longer exploration and lower doses of sedatives.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colonoscopia]]></kwd>
<kwd lng="es"><![CDATA[Tolerancia. Benzodiacepinas]]></kwd>
<kwd lng="es"><![CDATA[Opiáceos]]></kwd>
<kwd lng="es"><![CDATA[Sedación]]></kwd>
<kwd lng="en"><![CDATA[Colonoscopy]]></kwd>
<kwd lng="en"><![CDATA[Tolerance]]></kwd>
<kwd lng="en"><![CDATA[Benzodiazepines]]></kwd>
<kwd lng="en"><![CDATA[Opiates]]></kwd>
<kwd lng="en"><![CDATA[Sedation]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[American College of Gastroenterology guidelines for colorectal cancer screening]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rex]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Gastroenterol]]></source>
<year>2009</year>
<volume>104</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>739-50</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Factors influencing patient satisfaction when undergoing endoscopic procedures]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ko]]></surname>
<given-names><![CDATA[HH]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Telford]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2009</year>
<volume>69</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>883-91</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The sedation increases the acceptance of repeat colonoscopies]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baudet]]></surname>
<given-names><![CDATA[J-S]]></given-names>
</name>
<name>
<surname><![CDATA[Aguirre-Jaime]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Eur J Gastroenterol Hepatol]]></source>
<year>2012</year>
<volume>24</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>775-80</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Painless colonoscopy available techniques and instruments]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[HG]]></given-names>
</name>
</person-group>
<source><![CDATA[Clinical Endoscopy]]></source>
<year>2016</year>
<volume>49</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>444-8</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[European curriculum for sedation training in gastrointestinal endoscopy position statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA)]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dumonceau]]></surname>
<given-names><![CDATA[J-M]]></given-names>
</name>
<name>
<surname><![CDATA[Riphaus]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Beilenhoff]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
</person-group>
<source><![CDATA[Endoscopy]]></source>
<year>2013</year>
<volume>235</volume>
<numero>45</numero>
<issue>45</issue>
<page-range>496-504</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Triantafillidis]]></surname>
<given-names><![CDATA[JK]]></given-names>
</name>
<name>
<surname><![CDATA[Merikas]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Nikolakis]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sedation in gastrointestinal endoscopy current issues]]></article-title>
<collab>el al</collab>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2013</year>
<volume>19</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>463-81</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Use of sedation in gastrointestinal endoscopy a nationwide survey in Spain]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baudet]]></surname>
<given-names><![CDATA[J-S]]></given-names>
</name>
<name>
<surname><![CDATA[Borque]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Borja]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[Eur J Gastroenterol Hepatol]]></source>
<year>2009</year>
<volume>21</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>882-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Gastrointestinal endoscopy sedation and monitoring practices in Spain a nationwide survey in the year 2014]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lucendo]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[González-Huix]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Tenias]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<source><![CDATA[Endoscopy]]></source>
<year>2015</year>
<volume>47</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>383-90</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Sedation for gastrointestinal endoscopy Clinical practice guidelines of the Spanish Society of Digestive Endoscopy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Igea]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Casellas]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Baudet]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<source><![CDATA[Endoscopy]]></source>
<year>2014</year>
<numero>46</numero>
<issue>46</issue>
<page-range>720-31</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Guidelines for sedation in gastroenterological endoscopy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Obara]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Haruma]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Irisawa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Dig Endosc]]></source>
<year>2015</year>
<volume>27</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>435-49</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Predicting patient tolerance of endoscopy with conscious sedation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hazeldine]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Fritschi]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Forbes]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Scand J Gastroenterol]]></source>
<year>2010</year>
<volume>45</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1248-54</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Body mass index, age, and gender affect prep quality, sedation use, and procedure time during screening colonoscopy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Czwornog]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Austin]]></surname>
<given-names><![CDATA[GL]]></given-names>
</name>
</person-group>
<source><![CDATA[Dig Dis Sci]]></source>
<year>2013</year>
<volume>58</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>3127-33</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Open access colonoscopy in the training setting which factors affect patient satisfaction and pain?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eckardt]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Swales]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bhattacharya]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<source><![CDATA[Endoscopy]]></source>
<year>2008</year>
<volume>40</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>98-105</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Factors associated with abdominal discomfort during colonoscopy a prospective analysis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Elphick]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Donnelly]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Smith]]></surname>
<given-names><![CDATA[KS]]></given-names>
</name>
</person-group>
<source><![CDATA[Eur J Gastroenterol Hepatol]]></source>
<year>2009</year>
<volume>21</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1076-82</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[What factors are associated with the difficult-to-sedate endoscopy patient]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bal]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
<name>
<surname><![CDATA[Crowell]]></surname>
<given-names><![CDATA[MD]]></given-names>
</name>
<name>
<surname><![CDATA[Kohli]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
</person-group>
<source><![CDATA[Dig Dis Sci]]></source>
<year>2012</year>
<volume>57</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>2527-34</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Development of an instrument to assess and predict satisfaction and poor tolerance among patients undergoing endoscopic procedures]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peña]]></surname>
<given-names><![CDATA[LR]]></given-names>
</name>
<name>
<surname><![CDATA[Mardini]]></surname>
<given-names><![CDATA[HE]]></given-names>
</name>
<name>
<surname><![CDATA[Nickl]]></surname>
<given-names><![CDATA[NJ]]></given-names>
</name>
</person-group>
<source><![CDATA[Dig Dis Sci]]></source>
<year>2005</year>
<volume>50</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1860-71</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The effect of pre-procedure anxiety on sedative requirements for sedation during colonoscopy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chung]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
<name>
<surname><![CDATA[Juang]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
</person-group>
<source><![CDATA[Anaesthesia]]></source>
<year>2013</year>
<volume>68</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>253-9</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Identification of factors associated with sedation tolerance in 5000 patients undergoing outpatient colonoscopy Canadian tertiary center experience]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shingina]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ou]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Takach]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<source><![CDATA[World J Gastrointest Endosc]]></source>
<year>2016</year>
<volume>8</volume>
<numero>20</numero>
<issue>20</issue>
<page-range>770-6</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prospective study of anxiety in patients undergoing an outpatient colonoscopy Rev Esp Enferm]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Grilo Bensusan]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Herrera Martín]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Aguado Álvarez]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<source><![CDATA[Dig]]></source>
<year>2016</year>
<volume>108</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>765-9</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Development and validation of a clinical prediction score (the SCOPE score) to predict sedation outcomes in patients undergoing endoscopic procedures]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Braunstein]]></surname>
<given-names><![CDATA[ED]]></given-names>
</name>
<name>
<surname><![CDATA[Rosenberg]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gress]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Aliment Pharmacol Ther]]></source>
<year>2014</year>
<volume>40</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>72-82</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[A systematic review and meta-analysis of randomized, controlled trials of moderate sedation for routine endoscopic procedures]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[McQuaid]]></surname>
<given-names><![CDATA[KR]]></given-names>
</name>
<name>
<surname><![CDATA[Laine]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2008</year>
<volume>67</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>910-23</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Bolus administration of fentanyl and midazolam for colonoscopy increases endoscopy unit efficiency and safety compared with titrated sedation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Finn]]></surname>
<given-names><![CDATA[RT]]></given-names>
</name>
<name>
<surname><![CDATA[Boyd]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Gastroenterol Hepatol]]></source>
<year>2017</year>
<volume>15</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1419-26</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Patients prefer propofol to midazolam plus fentanyl for sedation for colonoscopy results of a single-center randomized equivalence trial]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schroeder]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Kaoutzanis]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Tocco-Bradley]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Dis Colon Rectum]]></source>
<year>2016</year>
<volume>59</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>62-9</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Patient satisfaction with propofol for outpatient colonoscopy a prospective, randomized, double-blind study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Padmanabhan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Frangopoulos]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Shaffer]]></surname>
<given-names><![CDATA[LET]]></given-names>
</name>
</person-group>
<source><![CDATA[Dis Colon Rectum]]></source>
<year>2017</year>
<volume>60</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1102-8</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Midazolam with meperidine or fentanyl for colonoscopy results of a randomized trial]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hayee]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Dunn]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Loganayagam]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2009</year>
<volume>69</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>681-7</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Sedated vs unsedated colonoscopy A prospective study]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aljebreen]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Almadi]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Leung]]></surname>
<given-names><![CDATA[FW]]></given-names>
</name>
</person-group>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2014</year>
<volume>20</volume>
<numero>17</numero>
<issue>17</issue>
<page-range>5113-8</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Performance measures for lower gastrointestinal endoscopy a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kaminski]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Thomas-Gibson]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bugajski]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Endoscopy]]></source>
<year>2017</year>
<volume>49</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>378-97</page-range></nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Unsedated colonoscopy an option for some but not for all]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Paggi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Radaelli]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Amato]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2012</year>
<volume>75</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>392-8</page-range></nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Why is colonoscopy more difficult in women]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saunders]]></surname>
<given-names><![CDATA[BP]]></given-names>
</name>
<name>
<surname><![CDATA[Fukumoto]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Halligan]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>1996</year>
<volume>43</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>124-6</page-range></nlm-citation>
</ref>
<ref id="B30">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Prospective evaluation of factors predicting difficulty and pain during sedation-free colonoscopy]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Takahashi]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Tanaka]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kinjo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Dis Colon Rectum]]></source>
<year>2005</year>
<volume>48</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1295-300</page-range></nlm-citation>
</ref>
<ref id="B31">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Patient satisfaction scores for endoscopic procedures impact of a survey-collection method]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[OS]]></given-names>
</name>
<name>
<surname><![CDATA[Schembre]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Ayub]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>2007</year>
<volume>65</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>775-81</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
