Discover Medicine
Navigating the sedation challenge in frail older patients undergoing endoscopic retrograde cholangiopancreatography: a narrative review
Abstract The global increase in life expectancy has resulted in a higher volume of endoscopic retrograde cholangiopancreatography (ERCP) procedures among frail older patients. Frailty, a multidimensional syndrome characterized by decreased physiological reserve, presents significant risks for sedation-related adverse events. Current sedation practices frequently rely on data derived from younger cohorts, often failing to account for the distinct pharmacokinetic and pharmacodynamic profiles associated with frailty. …