Sedation Regimens for Gastrointestinal Endoscopy

被引:49
作者
Moon, Sung-Hoon [1 ]
机构
[1] Hallym Univ, Hallym Univ Sacred Heart Hosp, Coll Med, Dept Internal Med, 22 Gwanpyeong Ro,170beon Gil, Anyang 431796, South Korea
关键词
Sedation; Endoscopy; Analgesia; Endoscopic sedation;
D O I
10.5946/ce.2014.47.2.135
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Sedation allows patients to tolerate unpleasant endoscopic procedures by relieving anxiety, discomfort, or pain. It also reduces a patient's risk of physical injury during endoscopic procedures, while providing the endoscopist with an adequate setting for a detailed examination. Sedation is therefore considered by many endoscopists to be an essential component of gastrointestinal endoscopy. Endoscopic sedation by nonanesthesiologists is a worldwide practice and has been proven effective and safe. Moderate sedation/ analgesia is generally accepted as an appropriate target for sedation by nonanesthesiologists. This focused review describes the general principles of endoscopic sedation, the detailed pharmacology of sedatives and analgesics (focused on midazolam, propofol, meperidine, and fentanyl), and the multiple regimens available for use in actual practice.
引用
收藏
页码:135 / 140
页数:6
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