医学
镇静
异丙酚
内窥镜检查
重症监护医学
随机对照试验
麻醉
气道
内镜治疗
外科
作者
Kate Leslie,James Sgroi
出处
期刊:Current Opinion in Anesthesiology
[Ovid Technologies (Wolters Kluwer)]
日期:2018-08-01
卷期号:31 (4): 481-485
被引量:13
标识
DOI:10.1097/aco.0000000000000620
摘要
Purpose of review The purpose of this article is to review the practice of sedation for adults having gastrointestinal endoscopy in Australia and to compare it with practice in other countries. Recent findings The practice of sedation for endoscopy in Australia is dominated by anaesthesiologists, who have a preference for deep propofol-based sedation. The recent literature includes a number of guidelines for sedation developed by multidisciplinary groups, anaesthesiologists and gastroenterologists in Australia and other countries. The appropriate health practitioner to provide deep sedation and general anaesthesia, to use propofol for sedation and to manage higher risk patients remains controversial. The estimated risks associated with endoscopy vary by provider, sedation technique and study design (prospective or retrospective, single- or multicentre). New airway management techniques are being investigated that may be useful in patients at high risk of hypoventilation and hypoxia. Summary Endoscopy sedation is safe but more high-quality, multicentre observer-blinded randomized controlled trials are required.
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