Extended Monitoring of the Sedated Patient: Bispectral Index, Narcotrend® and Automated Responsiveness Monitor

被引：8

作者：

Wehrmann, Till ^{[1
]}

机构：

[1] DKD, Div Gastroenterol, DE-65191 Wiesbaden, Germany

来源：

DIGESTION | 2010年 / 82卷 / 02期

关键词：

Sedation; Endoscopy; Monitoring; Bispectral index; Narcotrend (R); Automated responsiveness; ADMINISTERED PROPOFOL SEDATION; MIDAZOLAM; ADJUNCT; ELECTROENCEPHALOGRAM; COLONOSCOPY; EFFICACY; ERCP;

D O I：

10.1159/000285506

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

It has been demonstrated that a processed EEG derivative may reflect the patient's level of consciousness during endoscopic sedation. However, to date a clinical benefit of EEG monitoring with respect to relevant safety parameters in routine gastrointestinal endoscopy has not been demonstrated. During long-lasting procedures (e.g. ERCP, ESD) a propofol-sparing effect has been shown, but a benefit regarding patient safety could not be documented. The use of an automated responsiveness monitor may help to achieve and to maintain the level of conscious sedation with propofol, but its precise role in endoscopic sedation is undefined. Copyright (C) 2010 S. Karger AG, Basel

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页码：90 / 93

页数：4

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