Regula Jaroslaw, Sokol-Kobielska Elzbieta
Department of Gastroenterology, Medical Centre for Postgraduate Education and the Maria-Sklodowska-Curie Memorial Cancer Center, Institute of Oncology, 02-781 Warsaw, Poland.
Best Pract Res Clin Gastroenterol. 2008;22(5):945-57. doi: 10.1016/j.bpg.2008.06.002.
Sedation for endoscopy provides comfort for the patient and better examination conditions for the endoscopist. The high costs of providing anaesthesia by specialists and the relative lack of specialist personnel in many countries have led to the wider introduction of sedation delivered by non-anaesthesiologists. Such sedation should be targeted for moderate levels of sedation; however, personnel should be able to avoid - and rescue patients from - deeper sedation levels. Several conditions have to be fulfilled to provide proper and safe non-anaesthesiologist sedation for endoscopy, especially when propofol is to be used. These conditions include formal training, supervision by anaesthesiology staff, and definition of standard operating procedures on the national as well as local levels.
内镜检查镇静可为患者提供舒适感，并为内镜医师创造更好的检查条件。由专科医生实施麻醉成本高昂，且许多国家专科人员相对短缺，这导致非麻醉医师实施镇静的情况更为普遍。此类镇静应以中度镇静为目标；然而，相关人员应能够避免患者进入深度镇静状态，并能将处于深度镇静状态的患者解救出来。要为内镜检查提供恰当且安全的非麻醉医师镇静，尤其是在使用丙泊酚时，必须满足若干条件。这些条件包括正规培训、麻醉科工作人员的监督，以及国家和地方层面标准操作程序的界定。
