Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.
Gastrointest Endosc Clin N Am. 2023 Apr;33(2):213-234. doi: 10.1016/j.giec.2022.10.001.
Sedation for pediatric endoscopy has evolved from an endoscopist-administered component of procedures to an almost entirely anesthesiologist-supported endeavor. Nevertheless, there are no ideal endoscopist or anesthesiologist-administered sedation protocols, and wide practice variation exists in both models. Furthermore, sedation for pediatric endoscopy, whether administered by endoscopists or anesthesiologists, remains the highest risk to patient safety. This underscores the importance of both specialties identifying best sedation practices together that can safeguard patients while maximizing procedural efficiency and minimizing costs. In this review, the authors discuss specific levels of sedation for endoscopy and the risks and benefits of various regimens.
小儿内镜镇静已从内镜医师实施的程序组成部分演变为几乎完全由麻醉医师支持的努力。然而，目前还没有理想的内镜医师或麻醉医师实施镇静方案，两种模式都存在广泛的实践差异。此外，无论是由内镜医师还是麻醉医师实施的小儿内镜镇静，对患者安全的风险仍然最高。这突显出两个专业共同确定最佳镇静实践的重要性，这些实践既能保护患者，又能最大限度地提高程序效率并降低成本。在这篇综述中，作者讨论了内镜镇静的具体水平以及各种方案的风险和益处。
