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清醒镇静:对于经食管超声心动图检查而言,是否总是需要?

Conscious sedation: for a TEE, is it always required?

作者信息

Khalid Ovais, Srivastava Rajeev, Mulhall Aaron, Paladugu Anubha, Stoddard Marcus, Lippmann Steven

机构信息

Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Louisville, Louisville, Kentucky, USA.

出版信息

Echocardiography. 2010 Jan;27(1):74-6. doi: 10.1111/j.1540-8175.2009.01049.x.

DOI:10.1111/j.1540-8175.2009.01049.x
PMID:20380663
Abstract

Conscious sedation is an anesthesia technique frequently used to facilitate transesophageal echocardiography, but it is not really necessary for performing routine adult cases. Children and complicated circumstances generally do warrant sedation. Using such anesthesia does increase complication rates and financial costs, therefore, omitting it should be considered when appropriate. Conscious sedation does diminish pain and anxiety, but results in patients being temporarily not decisional; without sedation they remain at full decisional capacity and can resume routine activities immediately after the procedure.

摘要

清醒镇静是一种常用于辅助经食管超声心动图检查的麻醉技术,但在进行常规成人病例检查时并非真正必要。儿童和复杂情况通常确实需要镇静。使用这种麻醉确实会增加并发症发生率和经济成本,因此,在适当情况下应考虑省略它。清醒镇静确实能减轻疼痛和焦虑,但会导致患者暂时失去决策能力;不使用镇静剂时,他们仍具有完全决策能力,并且在检查后可立即恢复日常活动。

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