Propofol dose and incidence of dreaming during sedation

Abstract

BACKGROUND AND OBJECTIVE: Dreaming is commonly reported after propofol-based sedation. We measured the incidence of dreaming and bispectral index (BIS) values in colonoscopy patients sedated with combinations of propofol, midazolam and fentanyl. METHODS: Two hundred patients presenting for elective outpatient colonoscopy were sedated with combinations of propofol, midazolam and fentanyl. BIS was monitored throughout the procedure. Patients were interviewed immediately after they emerged from sedation. The primary end point was a report of dreaming during sedation. RESULTS: Ninety-seven patients were administered propofol alone, 44 were administered propofol and fentanyl, 16 were administered..