Campo R, Brullet E, Junquera F, Puig-Diví V, Vergara M, Calvet X, Marco J, Chuecos M, Sánchez A, Alcázar A, Ruiz M, Puig M, Real J
Servicio de Aparato Digestivo, Corporació Parc Taulí, Sabadell, Barcelona, Spain.
Gastroenterol Hepatol. 2004 Nov;27(9):503-7. doi: 10.1016/s0210-5705(03)70516-0.
The need for sedation is increasing in digestive endoscopy units (DEU). There are no data on the use of sedation in DEU in Catalonia (Spain).
To evaluate the use of sedation in DEU in Catalonia.
A questionnaire on the practice of sedation was designed and sent to the heads of medical and nursing staff of the DEU of 63 public and private hospitals in Catalonia. Two mailings were sent with an interval of three months between each. The questionnaire included 62 items on the characteristics of the hospital and the DEU, number of explorations, frequency of sedation use, drugs employed, participation of an anesthesiologist, use of monitoring, and complications.
Forty-four DEU (70%) corresponding to 31 public hospitals and 13 private hospitals completed the questionnaire. Evaluation of sedation patterns was based on 105,904 explorations performed in the various DEU (56,453 gastroscopies, 47,278 colonoscopies and 2,173 endoscopic retrograde cholangiopancreatographies (ERCP) in 2001. Sedation, sedation-analgesia or anesthesia was used in 17% of gastroscopies, 61% of colonoscopies and 100% of ERCP. Sedation was administered by an anesthesiologist in 7% of gastroscopies, 25% of colonoscopies and 38% of ERCP. Anesthesiologist administration was more frequent in private than in public centers (gastroscopies: 25% vs. 2%; colonoscopies: 57% vs. 9%, p < 0.001). No deaths associated with the use of sedation were reported. Eighty-nine percent of the DEU complied with standard recommendations for the practice of sedation.
In Catalonia, the use of sedation is highly variable, depending on the endoscopic procedure and the DEU. Use of sedation in infrequent in gastroscopy, fairly widespread in colonoscopy and routine in ERCP. Anesthesiologist administration is significantly more frequent in private hospitals. Most DEU follow standard sedation practices.
消化内镜科室（DEU）对镇静的需求日益增加。西班牙加泰罗尼亚地区尚无关于DEU使用镇静的相关数据。
评估加泰罗尼亚地区DEU中镇静的使用情况。
设计了一份关于镇静实践的问卷，并发送给加泰罗尼亚63家公立和私立医院DEU的医护人员负责人。共进行了两次邮寄，每次间隔三个月。问卷包括62项内容，涉及医院和DEU的特征、检查数量、镇静使用频率、所用药物、麻醉医生的参与情况、监测的使用以及并发症。
来自31家公立医院和13家私立医院的44个DEU（70%）完成了问卷。镇静模式评估基于各DEU在2001年进行的105,904例检查（56,453例胃镜检查、47,278例结肠镜检查和2,173例内镜逆行胰胆管造影术（ERCP））。17%的胃镜检查、61%的结肠镜检查和100%的ERCP使用了镇静、镇静镇痛或麻醉。7%的胃镜检查、25%的结肠镜检查和38%的ERCP由麻醉医生实施镇静。私立中心麻醉医生实施镇静的频率高于公立中心（胃镜检查：25%对2%；结肠镜检查：57%对9%，p<0.001）。未报告与镇静使用相关的死亡病例。89%的DEU符合镇静实践的标准建议。
在加泰罗尼亚，镇静的使用差异很大，取决于内镜检查程序和DEU。镇静在胃镜检查中使用较少，在结肠镜检查中相当普遍，在ERCP中则是常规操作。私立医院中麻醉医生实施镇静的频率明显更高。大多数DEU遵循标准的镇静操作规范。
