Lee Myung Chul
Department of Pediatrics, Maryknoll Medical Center, Busan, Korea.
Pediatr Gastroenterol Hepatol Nutr. 2014 Mar;17(1):6-12. doi: 10.5223/pghn.2014.17.1.6. Epub 2014 Mar 31.
It is more difficult to achieve cooperation when conducting endoscopy in pediatric patients than adults. As a result, the sedation for a comfortable procedure is more important in pediatric patients. The sedation, however, often involves risks and side effects, and their prediction and prevention should be sought in advance. Physicians should familiarize themselves to the relevant guidelines in order to make appropriate decisions and actions regarding the preparation of the sedation, patient monitoring during endoscopy, patient recovery, and hospital discharge. Furthermore, they have to understand the characteristics of the pediatric patients and different types of endoscopy. The purpose of this article is to discuss the details of sedation in pediatric endoscopy.
在儿科患者中进行内镜检查时,实现合作比在成人中更困难。因此,为使操作舒适而进行的镇静在儿科患者中更为重要。然而,镇静往往伴随着风险和副作用,应提前寻求对其进行预测和预防。医生应熟悉相关指南,以便就镇静准备、内镜检查期间的患者监测、患者恢复及出院事宜做出适当的决策并采取相应行动。此外,他们还必须了解儿科患者的特点以及不同类型的内镜检查。本文旨在讨论儿科内镜检查中镇静的细节。