Deep Sedation in High-risk Patients Undergoing Emergency Upper GI Endoscopy: A Retrospective Study Assessing Safety and Effectiveness

被引：0

作者：

Mariani, Martina ^{[1
]}

Villani, Romolo ^{[1
]}

De Simone, Anna ^{[1
]}

Cotena, Simona ^{[1
]}

Pirolli, Rossella ^{[1
]}

Nugnes, Manuela ^{[1
]}

Canciello, Silvio ^{[1
]}

Manganiello, Paolino ^{[1
]}

Santoriello, Elena ^{[1
]}

Schettino, Francesca ^{[1
]}

Schettini, Vincenzo ^{[1
]}

Bruno, Giorgia ^{[2
]}

Annunziata, Raffaele ^{[1
]}

机构：

[1] AORN A Cardarelli, Anesthesia Emergency & Burn Intens Care Unit, Naples, Italy

[2] PO Santa Maria Misericordia, Anesthesia & Intens Care Unit, Sorrento, Italy

来源：

TRANSLATIONAL MEDICINE AT UNISA | 2024年 / 26卷 / 02期

关键词：

GI endoscopy; Deep sedation; Anesthesiology; Non-operating room anesthesia (NORA); Airways management; PROCEDURAL SEDATION; ANALGESIA; SOCIETY; GUIDELINES; EVENTS;

D O I：

10.37825/2239-9747.1067

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Introduction: Emergency upper gastrointestinal (GI) endoscopy is often prolonged and complex, performed during high-risk conditions. These procedures can be affected by an increased risk for airway compromise. Scarce literature can be found providing guidance on anesthesiological conduct during upper GI endoscopy in Emergency. Methods: This was a monocentric retrospective study conducted on 96 patients treated in the Emergency Gastroenterology Unit at AORN Cardarelli, between June and October 2023. Key features of moderate and deep sedation procedures were investigated. Results: There was no statistically significant difference in the incidence of complications and respiratory depression between the patients receiving moderate sedation versus those treated with deep sedation. Discussion: Adverse outcomes of sedation and analgesia during endoscopic procedures are rare, even during a deep state of sedation.

引用

页数：7

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