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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 456 - 466 (11page)
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초록· 키워드
오류제보하기
Most gastrointestinal endoscopic procedures are now performed with sedation. Moderate sedation using benzodiazepines and opioids continue to be widely used, but propofol sedation is becoming more popular because its unique pharmacokinetic properties make endoscopy almost painless, with a very predictable and rapid recovery process. There is controversy as to whether propofol should be administered only by anesthesia professionals (monitored anesthesia care) or whether properly trained non-anesthesia personnel can use propofol safely via the modalities of nurse-administered propofol sedation, computer-assisted propofol sedation or nurse-administered continuous propofol sedation. The deployment of non-anesthesia administered propofol sedation for low-risk procedures allows for optimal allocation of scarce anesthesia resources, which can be more appropriately used for more complex cases. This can address some of the current shortages in anesthesia provider supply, and can potentially reduce overall health care costs without sacrificing sedation quality. This review will discuss efficacy, safety, efficiency, cost and satisfaction issues with various modes of sedation for non-advanced, non-emergent endoscopic procedures, mainly esophagogastroduodenoscopy and colonoscopy.
목차
등록된 정보가 없습니다.
참고문헌 (90)
참고문헌 신청
Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy / 2008 / Sedation and anesthesia in GI endoscopy / Gastrointest Endosc 68:815~826
Ghanouni A / 2016 / Patients’ experience of colonoscopy in the English Bowel Cancer Screening Programme / Endoscopy 48:232~240
Radaelli F / 2008 / Technical performance of colonoscopy: the key role of sedation/analgesia and other quality indicators / Am J Gastroenterol 103:1122~1130
Cohen LB / 2006 / Endoscopic sedation in the United States: results from a nationwide survey / Am J Gastroenterol 101:967~974
Gross JB / 2006 / Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea / Anesthesiology 104:1081~1093
Ghanouni A / 2016 / Patients’ experience of colonoscopy in the English Bowel Cancer Screening Programme / Endoscopy 48:232~240
Radaelli F / 2008 / Technical performance of colonoscopy: the key role of sedation/analgesia and other quality indicators / Am J Gastroenterol 103:1122~1130
Cohen LB / 2006 / Endoscopic sedation in the United States: results from a nationwide survey / Am J Gastroenterol 101:967~974
Gross JB / 2006 / Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists Task Force on Perioperative Management of patients with obstructive sleep apnea / Anesthesiology 104:1081~1093
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