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Monitoring standards in sedation and analgesia the odyssey of capnography in sedation for gastroenterology procedures

机译:监测镇静和镇痛标准的标准,肠胃内肠胃内宫内节育术治疗胃肠学程序

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Purpose of review Capnography is an excellent tool for early detection of hypoxemia and apnea in patients undergoing sedation for gastrointestinal endoscopy. The current American Society of Anesthesiology (ASA) guidelines recommend the use of capnography in any patient undergoing moderate sedation. The purpose of this review was to compile the most recent data available on capnography use in gastrointestinal endoscopy with the focus primarily on the use of capnography in moderate sedation cases.Recent findings Recent high-quality studies have evaluated the utility of capnography in low risk patients undergoing moderate sedation and have found no benefit with addition of capnography.Capnography is beneficial when used for patients who are at a higher risk for sedation-related complications. There is no benefit when capnography is used in low risk patients undergoing routine upper endoscopy and colonoscopy under moderate sedation but there is benefit when used in advanced endoscopic procedures that require deeper sedation and have longer procedure times.
机译:审查表谱的目的是早期检测胃肠内窥镜检查症患者患者低氧血症和呼吸暂停的优秀工具。目前美国麻醉学会(ASA)指南建议在任何正在进行中度镇静的患者中使用CAPNography。本综述的目的是编制CAPNography中可用的最新数据,以胃肠内窥镜检查中的胃肠内窥镜检查,主要是在适度的镇静案件中使用CAPNography的焦点。最近的调查结果最近的高质量研究已经评估了CAPNography在低风险患者中的效用正在进行中度镇静,并且没有发现添加Capnography.CapNography用于患者镇静危险风险的患者有益。当在适度镇静下进行常规上内窥镜检查和结肠镜检查的低风险患者使用谱系时没有益处,但是当在需要更深镇静的先进内窥镜手术中使用时有益处并且具有更长的过程时间。

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