Nwokediuko Sylvester Chuks, Obienu Olive
Sylvester Chuks Nwokediuko, Olive Obienu, Gastroenterology Unit, Department of Medicine, University of Nigeria Teaching Hospital Ituku/Ozalla, 01129 Enugu, Nigeria.
World J Gastrointest Endosc. 2012 Jun 16;4(6):260-5. doi: 10.4253/wjge.v4.i6.260.
To determine the sedation practices and preferences of Nigerian endoscopists for routine diagnostic upper gastrointestinal endoscopy.
A structured questionnaire containing questions related to sedation practices and safety procedures was administered to Nigerian gastrointestinal endoscopists at the 2011 annual conference of the Society for Gastroenterology and Hepatology in Nigeria which was held at Ibadan, June 23-35, 2011.
Of 35 endoscopists who responded, 17 (48.6%) used sedation for less than 25% of procedures, while 14 (40.0%) used sedation for more than 75% of upper gastrointestinal endoscopies. The majority of respondents (22/35 or 62.9%) had less than 5 years experience in gastrointestinal endoscopy. The sedative of choice was benzodiazepine alone in the majority of respondents (85.7%). Opioid use (alone or in combination with benzodiazepines) was reported by only 5 respondents (14.3%). None of the respondents had had any experience with propofol. Non-anaesthesiologist-directed sedation was practiced by 91.4% of endoscopists. Monitoring of oxygen saturation during sedation was practiced by only 57.1% of respondents. Over half of the respondents (18/35 or 51.4%) never used supplemental oxygen for diagnostic upper gastrointestinal endoscopy.
Sedation for routine diagnostic upper gastrointestinal endoscopy in Nigeria is characterized by lack of guidelines, and differs markedly from that in developed countries.
确定尼日利亚内镜医师在常规诊断性上消化道内镜检查中的镇静操作及偏好。
在2011年6月23 - 35日于伊巴丹举行的尼日利亚胃肠病学和肝病学会年会上，向尼日利亚胃肠内镜医师发放了一份包含与镇静操作及安全程序相关问题的结构化问卷。
在35名回复问卷的内镜医师中，17名（48.6%）在不到25%的操作中使用镇静剂，而14名（40.0%）在超过75%的上消化道内镜检查中使用镇静剂。大多数受访者（22/35或62.9%）在胃肠内镜检查方面的经验不足5年。大多数受访者（85.7%）选择单独使用苯二氮䓬类药物作为镇静剂。只有5名受访者（14.3%）报告使用阿片类药物（单独或与苯二氮䓬类药物联合使用）。没有受访者有使用丙泊酚的经验。91.4%的内镜医师采用非麻醉医师指导下的镇静。只有57.1%的受访者在镇静过程中监测血氧饱和度。超过一半的受访者（18/35或51.4%）在诊断性上消化道内镜检查中从未使用过补充氧气。
尼日利亚常规诊断性上消化道内镜检查的镇静缺乏指南，与发达国家明显不同。
