Sedation and analgesia in gastrointestinal endoscopy: What's new?

被引:37
作者
Fanti, Lorella [1 ]
Testoni, Pier Alberto [1 ]
机构
[1] Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Div Gastroenterol & Gastrointestinal Endoscopy, I-20132 Milan, Italy
关键词
Gastrointestinal endoscopy; Analgesia; Sedation; Propofol; PATIENT-CONTROLLED ANALGESIA; TARGET-CONTROLLED INFUSION; MONITORED ANESTHESIA CARE; CONSCIOUS SEDATION; OUTPATIENT COLONOSCOPY; ADMINISTERED PROPOFOL; MODERATE SEDATION; DEEP SEDATION; FOSPROPOFOL DISODIUM; REGISTERED NURSES;
D O I
10.3748/wjg.v16.i20.2451
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Various types of sedation and analgesia technique have been used during gastrointestinal endoscopy procedures. The best methods for analgesia and sedation during gastrointestinal endoscopy are still debated. Providing an adequate regimen of sedation/analgesia might be considered an art, influencing several aspects of endoscopic procedures: the quality of the examination, the patient's cooperation and the patient's and physician's satisfaction with the sedation. The properties of a model sedative agent for endoscopy would include rapid onset and offset of action, analgesic and anxiolytic effects, ease of titration to desired level of sedation, rapid recovery and an excellent safety profile. Therefore there is an impulse for development of new approaches to endoscopic sedation. This article provides an update on the methods of sedation today available and future directions in endoscopic sedation. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:2451 / 2457
页数:7
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