Document Detail

Patient-controlled analgesia and sedation in gastrointestinal endoscopy.
MedLine Citation:
PMID:  15121148     Owner:  NLM     Status:  MEDLINE    
Variations in pain threshold, drug tolerance, and visceral sensitivity among patients make it difficult to anticipate the appropriate dose of sedation for gastrointestinal endoscopy. Propofol was recently introduced for sedation in endoscopy and has a rapid onset and offset of action, making it an ideal substance for patient-controlled administration. Several controlled trials have demonstrated that during colonoscopy, patient-controlled application of propofol alone or in combination with various opioids is effective,safe, and yields high patient satisfaction. Target-controlled infusion of propofol has shown encouraging results for prolonged upper endoscopy procedures like endoscopic retrograde cholangio pancreatography.
Daniel Külling; Peter Bauerfeind; Michael Fried; Peter Biro
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Gastrointestinal endoscopy clinics of North America     Volume:  14     ISSN:  1052-5157     ISO Abbreviation:  Gastrointest. Endosc. Clin. N. Am.     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-05-03     Completed Date:  2004-08-26     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9202792     Medline TA:  Gastrointest Endosc Clin N Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  353-68     Citation Subset:  IM    
Gastroenterology Center, Hirslanden Clinic, Seefeldstrasse 214, CH-8008 Zürich, Switzerland.
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MeSH Terms
Analgesia, Patient-Controlled / methods*
Analgesics / administration & dosage*
Conscious Sedation / methods*
Endoscopy, Gastrointestinal*
Hypnotics and Sedatives / administration & dosage*
Reg. No./Substance:
0/Analgesics; 0/Hypnotics and Sedatives

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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