Aisenberg James, Cohen Lawrence B
Department of Medicine (Gastroenterology), The Mount Sinai School of Medicine, One Gustave Levy Place, New York, NY 10029, USA.
Gastrointest Endosc Clin N Am. 2006 Oct;16(4):695-708. doi: 10.1016/j.giec.2006.08.004.
Sedation impacts every aspect of endoscopy practice--the quality fo the examination, the satisfaction of endoscopist and of patient, the efficiency and cost of delivering services, and the compliance of patients with surveillance guidelines. New sedation agents and improved patient-monitoring and drug-delivery technologies are challenging traditional practices. Increasing demand for endoscopic services, shrinking reimbursements, and competing diagnostic technologies are prompting recognition that new approaches to sedation can improve practice efficiency and patient outcome. This article discusses new developments in endoscopic sedation and their implications for practice management.
镇静影响着内镜检查操作的方方面面——检查质量、内镜医师和患者的满意度、服务提供的效率和成本，以及患者对监测指南的依从性。新型镇静药物以及改进的患者监测和药物输送技术正在挑战传统做法。内镜检查服务需求的增加、报销费用的缩减以及竞争性诊断技术，促使人们认识到新的镇静方法可以提高操作效率和患者治疗效果。本文讨论了内镜镇静的新进展及其对实践管理的影响。
