Chen Ming-Qi, Zhang Qi-Sheng
Department of Gastroenterology, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai 200434, China.
World J Gastrointest Endosc. 2024 Dec 16;16(12):686-690. doi: 10.4253/wjge.v16.i12.686.
In this article we comment on the article by Walayat . Outpatient endoscopy has become vital in modern healthcare, providing efficient diagnostic and therapeutic interventions with minimal patient disruption. This study highlighted the key developments in sedation management, focusing on risk stratification and procedural settings to enhance safety. The findings demonstrate that a rigorous triage tool effectively reduces adverse events related to sedation and reversals. By identifying patients at higher risk, this tool helps mitigate complications during procedures. Importantly, appropriate risk stratification allows complex procedures to be performed under conscious sedation, significantly improving patient outcomes and optimizing resource allocation, particularly in constrained healthcare environments.
在本文中,我们对瓦拉亚特的文章进行评论。门诊内镜检查在现代医疗保健中已变得至关重要,它能以对患者干扰最小的方式提供高效的诊断和治疗干预。这项研究突出了镇静管理方面的关键进展,重点在于风险分层和程序设置以提高安全性。研究结果表明,一种严格的分诊工具能有效减少与镇静及苏醒相关的不良事件。通过识别高风险患者,该工具有助于减少手术过程中的并发症。重要的是,适当的风险分层使复杂手术能够在清醒镇静下进行,显著改善患者预后并优化资源分配,尤其是在医疗资源有限的环境中。