Application of Cluster-Based Anesthesia Management in Painless Gastrointestinal Endoscopy
Objective: To investigate the application effect of cluster-based anesthesia management in painless gastrointestinal endoscopy and evaluate its impact on anesthesia safety, procedural quality, and patient recovery. Methods: A total of 2000 patients who underwent painless gastrointestinal endoscopy at the Digestive Endoscopy Center of our hospital from January 2025 to January 2026 were randomly divided into two groups, with 1000 cases in each group. The observation group implemented a comprehensive cluster-based anesthesia protocol, while the control group received conventional intravenous sedation anesthesia with basic monitoring. The anesthesia induction time, awakening time, recovery room stay time, intraoperative hemodynamic fluctuations, incidence of adverse events, endoscopic procedure completion rate, and patient satisfaction were compared between the two groups. Results: The anesthesia induction time, awakening time, and recovery room stay time in the observation group were significantly shorter than those in the control group (all p < 0.001). The fluctuations in systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) at T1, T2, and T3 in the observation group were significantly smaller than those in the control group (all p < 0.001). The incidence of intraoperative adverse events in the observation group was significantly lower than that in the control group (p < 0.001). The endoscopic procedure completion rate and patient satisfaction in the observation group were significantly higher than those in the control group (both p < 0.001). Conclusion: Cluster-based anesthesia management can significantly optimize the anesthesia process for painless gastrointestinal endoscopy, shorten anesthesia and recovery times, reduce the risk of intraoperative adverse events, and improve procedural safety and patient comfort, making it worthy of clinical promotion and application.
[1] Li X, Liang J, 2011, Clinical Application Analysis of 306 Cases of Painless Gastroscopy. Journal of Modern Integrative Traditional Chinese and Western Medicine, 20(24): 3061–3062.
[2] Liu L, He J, 2020, Research Progress in Outpatient Painless Colonoscopy. Hebei Medical Journal, 42(10): 1566–1571.
[3] Xu C, Yang P, Chen Z, et al., 2025, Comparative Study on the Application of Propofol and Fospropofol Disodium in Adult Painless Gastrointestinal Endoscopy. China Drug Evaluation, 42(5): 384–388.
[4] Zhu L, Zhang S, Jia M, 2026, The Value of Bundled Nursing Under Feedback Management Mode in the Perioperative Period of Patients with Benign Prostatic Hyperplasia. General Nursing, 24(3): 494–498.
[5] Li M, Wang C, Tan J, 2026, Application Effect of Checklist-Based Bundled Nursing Strategy in the Postoperative Period of Gastrointestinal Surgery and Its Impact on Deep Vein Thrombosis of the Lower Extremities. China Contemporary Medicine, 33(2): 155–159.
[6] Zhao Z, Wang N, Jiang T, et al., 2026, The Effect of Remimazolam Combined with Propofol on Additional Administration During Painless Gastroscopy in School-Age Children. China Modern Medical Journal, 36(5): 69–75.
[7] Wu D, Yi K, Jiang B, 2026, Anesthetic Effects of Dezocine and Sufentanil Combined with Propofol in Hysteroscopy. Journal of Women’s and Children’s Health, 5(5): 94–98.
[8] Ma M, Zhou X, Lu Z, 2026, Anesthesiologists Should Take the Lead in Promoting the Standardized Construction and High-Quality Development of Comfortable Diagnosis and Treatment Centers. Anesthesia Safety and Quality Control, 8(1): 9–16.
[9] Liu H, Jiang Q, Yuan F, 2026, The Effect of a Nursing Team-Led Integrated Anesthesia Nursing Model on Emergence Agitation in Patients Undergoing Laparoscopic Surgery in the General Surgery Recovery Room. Heilongjiang Medicine Journal, 39(1): 221–223.
[10] Zhang J, Zhao D, 2025, Observation on the Preventive Effect of Bundled Prevention and Control Measures Based on the ERAS Concept on Complications in Patients Undergoing Radiofrequency Ablation for Thyroid Nodules. Journal of Aerospace Medicine, 36(12): 1508–1510.
