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非麻醉医生在消化内镜检查中使用丙泊酚的情况

[Administration of propofol by non-anesthesiologists for digestive endoscopy].

作者信息

Dumonceau Jean-Marc, Hovaguimian Frédérique, Bertolini David, Walder Bernard

机构信息

Service de gastro-entérologie et d'hépatologie, Département de médecine interne, HUG, 1211 Genéve 14.

出版信息

Rev Med Suisse. 2010 Sep 8;6(261):1638-41.

Abstract

Propofol is progressively replacing benzodiazepines for sedation during endoscopy, even when the sedation is administered by non-anesthesiologists. Propofol ensures a more rapid induction of sedation and recovery and, in certain conditions, higher patient satisfaction and improved quality of endoscopic examination. Specific training is required to use this drug. Patients at risk of complications should be identified before the endoscopy to optimize patient management with an anesthesiologist. After sedation, psychomotor recovery is faster with propofol compared to traditional sedation agents but tasks requiring particular attention (eg, driving) should be avoided. It is important to advise patients of these restrictions in advance.

摘要

在内镜检查期间,丙泊酚正逐渐取代苯二氮䓬类药物用于镇静,即使镇静是由非麻醉医生实施的。丙泊酚能确保更快地诱导镇静和苏醒,并且在某些情况下,能提高患者满意度并改善内镜检查质量。使用这种药物需要进行专门培训。在内镜检查前应识别有并发症风险的患者,以便与麻醉医生共同优化患者管理。镇静后,与传统镇静剂相比,丙泊酚使精神运动恢复更快,但应避免从事需要特别注意的任务(如驾驶)。提前告知患者这些限制很重要。

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