Sedation in digestive endoscopy: the Athens international position statements

被引：57

作者：

Cohen, L. B. ^{[1
]}

Ladas, S. D. ^{[2
]}

Vargo, J. J. ^{[3
]}

Paspatis, G. A. ^{[4
]}

Bjorkman, D. J. ^{[5
]}

Van der Linden, P. ^{[6
]}

Axon, A. T. R. ^{[7
]}

Axon, A. E. ^{[8
]}

Bamias, G. ^{[2
]}

Despott, E. ^{[9
]}

Dinis-Ribeiro, M. ^{[10
]}

Fassoulaki, A. ^{[11
]}

Hofmann, N. ^{[12
]}

Karagiannis, J. A. ^{[13
]}

Karamanolis, D. ^{[14
]}

Maurer, W. ^{[3
]}

O'Connor, A. ^{[15
]}

Paraskeva, K. ^{[13
]}

Schreiber, F. ^{[16
]}

Triantafyllou, K. ^{[17
]}

Viazis, N. ^{[14
]}

Vlachogiannakos, J. ^{[18
]}

机构：

[1] Mt Sinai Sch Med, New York, NY USA

[2] Univ Athens, GR-10679 Athens, Greece

[3] Case Western Reserve Univ, Lerner Coll Med, Cleveland Clin, Cleveland, OH 44106 USA

[4] Benizelion Gen Hosp, Hera Lion Crete, Greece

[5] Univ Utah, Sch Med, Salt Lake City, UT USA

[6] Free Univ Brussels, CHU Brugmann HUDERF, Brussels, Belgium

[7] Infirm Leeds, Leeds, W Yorkshire, England

[8] Pk Lane Lowden Chambers, Leeds, W Yorkshire, England

[9] St Marks Hosp, London EC1V 2PS, England

[10] Portuguese Oncol Inst Porto, Portalegre, Portugal

[11] Aretaieio Hosp, Athens, Greece

[12] Diakonissenkrankenhaus, Salzburg, Austria

[13] Konstantopoulio Hosp, Athens, Greece

[14] Evangelismos Med Ctr, Athens, Greece

[15] Adelaide & Meath Hosp, Dublin, Ireland

[16] Med Univ Graz, Graz, Austria

[17] Propaedeut Attikon Univ Gen Hosp, Athens, Greece

[18] Evangelismos Gen Hosp, Athens, Greece

来源：

ALIMENTARY PHARMACOLOGY & THERAPEUTICS | 2010年 / 32卷 / 03期

关键词：

UPPER GASTROINTESTINAL ENDOSCOPY; PATIENT-CONTROLLED SEDATION; OUTPATIENT COLONOSCOPY; DOUBLE-BLIND; PHARYNGEAL ANESTHESIA; ADMINISTERED PROPOFOL; PRACTICE GUIDELINES; MODERATE SEDATION; INFORMED-CONSENT; MIDAZOLAM;

D O I：

10.1111/j.1365-2036.2010.04352.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

P>Background Guidelines and practice standards for sedation in endoscopy have been developed by various national professional societies. No attempt has been made to assess consensus among internationally recognized experts in this field. Aim To identify areas of consensus and dissent among international experts on a broad range of issues pertaining to the practice of sedation in digestive endoscopy. Methods Thirty-two position statements were reviewed during a 1 1/2-day meeting. Thirty-two individuals from 12 countries and four continents, representing the fields of gastroenterology, anaesthesiology and medical jurisprudence heard evidence-based presentations on each statement. Level of agreement among the experts for each statement was determined by an open poll. Results The principle recommendations included the following: (i) sedation improves patient tolerance and compliance for endoscopy, (ii) whenever possible, patients undergoing endoscopy should be offered the option of having the procedure either with or without sedation, (iii) monitoring of vital signs as well as the levels of consciousness and pain/discomfort should be performed routinely during endoscopy, and (iv) endoscopists and nurses with appropriate training can safely and effectively administer propofol to low-risk patients undergoing endoscopic procedures. Conclusions While the standards of practice vary from country to country, there was broad agreement among participants regarding most issues pertaining to sedation during endoscopy.

引用

页码：425 / 442

页数：18

共 86 条

[1] Predicting which patients can undergo upper endoscopy comfortably without conscious sedation [J].