急诊上消化道内镜检查高危患者的深度镇静：一项评估安全性和有效性的回顾性研究
Deep Sedation in High-risk Patients Undergoing Emergency Upper GI Endoscopy: A Retrospective Study Assessing Safety and Effectiveness.
作者信息
Mariani Martina, Villani Romolo, De Simone Anna, Cotena Simona, Pirolli Rossella, Nugnes Manuela, Canciello Silvio, Manganiello Paolino, Santoriello Elena, Schettino Francesca, Schettini Vincenzo, Bruno Giorgia, Annunziata Raffaele
机构信息
Anesthesia, Emergency and Burn Intensive Care Unit, "AORN A. Cardarelli", Naples, Italy.
Anesthesia and Intensive Care Unit, PO "Santa Maria della Misericordia", Sorrento, Italy.
出版信息
Transl Med UniSa. 2024 Dec 26;26(2):164-168. doi: 10.37825/2239-9747.1067. eCollection 2024.
INTRODUCTION
Emergency upper gastrointestinal (GI) endoscopy is often prolonged and complex, performed during high-risk conditions. These procedures can be affected by an increased risk for airway compromise. Scarce literature can be found providing guidance on anesthesiological conduct during upper GI endoscopy in Emergency.
METHODS
This was a monocentric retrospective study conducted on 96 patients treated in the Emergency Gastroenterology Unit at AORN Cardarelli, between June and October 2023. Key features of moderate and deep sedation procedures were investigated.
RESULTS
There was no statistically significant difference in the incidence of complications and respiratory depression between the patients receiving moderate sedation versus those treated with deep sedation.
DISCUSSION
Adverse outcomes of sedation and analgesia during endoscopic procedures are rare, even during a deep state of sedation.
引言
急诊上消化道内镜检查通常耗时较长且操作复杂，是在高风险情况下进行的。这些操作可能会因气道受损风险增加而受到影响。关于急诊上消化道内镜检查期间麻醉管理的指导文献很少。
方法
这是一项单中心回顾性研究，对2023年6月至10月在AORN卡达雷利急诊胃肠病科接受治疗的96例患者进行。对中度和深度镇静程序的关键特征进行了调查。
结果
接受中度镇静的患者与接受深度镇静的患者在并发症发生率和呼吸抑制方面没有统计学上的显著差异。
讨论
内镜检查期间镇静和镇痛的不良后果很少见，即使在深度镇静状态下也是如此。
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