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. 2021 Dec 13;128(4):610–622. doi: 10.1016/j.bja.2021.10.044

Table 1.

Five RCTs and one observational study with data characterising arterial BP during propofol sedation for colonoscopy. BIS, bispectral index SBP, systolic BP; TCI, target-controlled infusion.

Study Study design and intervention Number of procedures available for analysis Available BP data Measurement interval (min) BP information used in analysis Hypotension criteria used in analysis
Padmanabhan and colleagues11 (2009) RCT; propofol sedation with or without midazolam with or without fentanyl 200 Lowest SBP during colonoscopy 2.5 Lowest SBP during colonoscopy Hypotension=lowest SBP <90 mm Hg
Allen and colleagues12 (2015) RCT; light vs deep (BIS guided) sedation with propofol and fentanyl 199 Occurrence of hypotension Unknown Hypotension yes/no Hypotension=MAP 20% below baseline, or systolic pressure <90 mm Hg, or diastolic pressure <50 mm Hg
Leslie and colleagues13 (2006) RCT; propofol sedation and 1.5 or 15 ml kg−1 of Hartmann's solution 160 Lowest SBP during colonoscopy 2.5 Lowest SBP; hypotension yes/no Hypotension=lowest SBP below 90 mm Hg
Leslie and colleagues14 (2016) RCT; propofol sedation and 2 or 20 ml kg−1 of Plasma-Lyte 148 150 Lowest SBP during colonoscopy 2.5 Lowest SBP; hypotension yes/no Hypotension=lowest SBP below 90 mm Hg
Stonell and colleagues15 (2006) RCT; patient-controlled vs anaesthetist-controlled propofol sedation 40 All BP measurements during colonoscopy 3 Lowest SBP; hypotension yes/no Hypotension=lowest SBP below 90 mm Hg
Barends and colleagues16 (2020) Observational study of TCI sedation with propofol and remifentanil 2937 (various procedures; 190 colonoscopies) All BP measurements during colonoscopy 2.5 Lowest SBP; hypotension yes/no Hypotension=lowest SBP below 90 mm Hg