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胃肠内镜检查镇静的最新进展

Updates on the Sedation for Gastrointestinal Endoscopy.

作者信息

Lee Jun Kyu, Lee Yoo Jin, Cho Jun Hyung, Im Jong Pil, Park Chang-Hwan, Jang Jae-Young, Jang Byung Ik

机构信息

Department of Internal Medicine, Dongguk University Ilsan Hospital, College of Medicine, Dongguk University, Goyang, Korea.

Department of Internal Medicine, Keimyung University College of Medicine, Seoul, Korea.

出版信息

Clin Endosc. 2019 Sep;52(5):451-457. doi: 10.5946/ce.2019.172. Epub 2019 Sep 30.

DOI:10.5946/ce.2019.172
PMID:31591282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6785422/
Abstract

Sedation, defined as the depressed level of consciousness, induced by drug administration, is widely used for gastrointestinal endoscopy to relieve a patient's anxiety and discomfort. In addition, successful procedure is anticipated with control of unintended movements. Endoscopic sedation, however, cannot be free from the risk of serious adverse events, e.g., cardiopulmonary compromise. Therefore, principles on personnel, facility and equipment, as well as performance itself, should be followed to prevent unfavorable incidents. In this article, sedation guidelines for the Accreditation of Qualified Endoscopy Units, issued by the Korean Society of Gastrointestinal Endoscopy, are presented.

摘要

镇静是指通过药物给药诱导的意识水平降低,广泛用于胃肠内镜检查以缓解患者的焦虑和不适。此外,预期通过控制意外运动可顺利完成检查。然而,内镜镇静无法避免严重不良事件的风险,例如心肺功能不全。因此,应遵循人员、设施和设备以及操作本身的原则,以防止发生不良事件。本文介绍了韩国胃肠内镜学会发布的合格内镜检查单位认证的镇静指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b3/6785422/a8302d4f6abc/ce-2019-172f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b3/6785422/a8302d4f6abc/ce-2019-172f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b3/6785422/a8302d4f6abc/ce-2019-172f1.jpg

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Guidelines for sedation and anesthesia in GI endoscopy.胃肠内镜检查中的镇静与麻醉指南。
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AGA Institute review of endoscopic sedation.美国胃肠病学会内镜下镇静审查
Endoscopist-Driven Sedation Practices in South Korea: Re-evaluation Considering the Nationwide Survey in 2019.
韩国内镜医师主导镇静实践:考虑 2019 年全国调查的重新评估。
Gut Liver. 2022 Nov 15;16(6):899-906. doi: 10.5009/gnl210466. Epub 2022 Aug 1.
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A Nationwide Survey on the Facilities and Personnel for Endoscopic Sedation: Results from 50 Qualified Endoscopy Units of Teaching Hospitals Accredited by the Korean Society of Gastrointestinal Endoscopy (KSGE).一项关于内镜下镇静设施与人员的全国性调查:来自韩国胃肠内镜学会(KSGE)认证的50家合格教学医院内镜科室的结果。
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Risk Factors for Prolonged Hospital Stay after Endoscopy.内镜检查后住院时间延长的危险因素。
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Gut Liver. 2021 Jul 15;15(4):562-568. doi: 10.5009/gnl20243.
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Anesthesiology. 2002 Apr;96(4):1004-17. doi: 10.1097/00000542-200204000-00031.
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A postanesthetic recovery score.麻醉后恢复评分。
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