World J Gastroenterol. 2010 May 28;16(20):2451-7. doi: 10.3748/wjg.v16.i20.2451.
Various types of sedation and analgesia technique have been used during gastrointestinal endoscopy procedures. The best methods for analgesia and sedation during gastrointestinal endoscopy are still debated. Providing an adequate regimen of sedation/analgesia might be considered an art, influencing several aspects of endoscopic procedures: the quality of the examination, the patient's cooperation and the patient's and physician's satisfaction with the sedation. The properties of a model sedative agent for endoscopy would include rapid onset and offset of action, analgesic and anxiolytic effects, ease of titration to desired level of sedation, rapid recovery and an excellent safety profile. Therefore there is an impulse for development of new approaches to endoscopic sedation. This article provides an update on the methods of sedation today available and future directions in endoscopic sedation.
在胃肠内镜检查过程中，使用了各种类型的镇静和镇痛技术。胃肠内镜检查中最佳的镇痛和镇静方法仍存在争议。提供足够的镇静/镇痛方案可以被认为是一种艺术，影响内镜检查的几个方面：检查的质量、患者的配合以及患者和医生对镇静的满意度。内镜检查中模型镇静剂的特性包括作用迅速开始和结束、镇痛和抗焦虑作用、易于滴定至所需镇静水平、快速恢复和极佳的安全性。因此，开发新的内镜镇静方法的冲动越来越强烈。本文提供了关于当前可用的镇静方法和内镜镇静未来方向的最新信息。
