Document Detail


Patient-controlled analgesia and sedation in gastrointestinal endoscopy.
MedLine Citation:
PMID:  15121148     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Daniel Külling; Peter Bauerfeind; Michael Fried; Peter Biro
Related Documents :
14749648 - Risk of cesarean delivery in nulliparous women at greater than 41 weeks' gestational ag...
17525588 - Incidence of propofol infusion syndrome during noninvasive radiofrequency ablation for ...
10399518 - An alternative continuous caudal block with caudad catheterization via lower lumbar int...
18493558 - The assessment of esophagogastroduodenoscopy tolerance a prospective study of 300 cases.
17216218 - Ultrasonographic patterns in patients with obstructed defaecation.
16197788 - Predictors of nonalcoholic steatohepatitis (nash) in obese patients undergoing gastric ...
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    
Affiliation:
Gastroenterology Center, Hirslanden Clinic, Seefeldstrasse 214, CH-8008 Zürich, Switzerland. daniel.kuelling@gastrozentrum.ch
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Analgesia, Patient-Controlled / methods*
Analgesics / administration & dosage*
Conscious Sedation / methods*
Endoscopy, Gastrointestinal*
Humans
Hypnotics and Sedatives / administration & dosage*
Chemical
Reg. No./Substance:
0/Analgesics; 0/Hypnotics and Sedatives

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


Previous Document:  Extended/advanced monitoring techniques in gastrointestinal endoscopy.
Next Document:  Unsedated endoscopy.