| Pulse oximetry and supplemental oxygen during gastrointestinal endoscopy: a critical review. | |
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MedLine Citation:
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PMID: 8934090 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A high proportion of the mortality and morbidity associated with endoscopic procedures may be of cardiopulmonary origin. For this reason, the appropriate degree of monitoring and prophylactic measures to be used in the sedated patient undergoing endoscopy has become a topic of discussion during recent years. The development of myocardial ischaemia during gastrointestinal endoscopy has traditionally been considered to be due to the simultaneous arterial hypoxaemia; however, recent investigations have suggested that tachycardia may be a more important pathogenic factor. No study has ever shown that pulse oximetry monitoring or supplemental oxygen will reduce the morbidity or mortality during gastrointestinal endoscopy. The current guidelines for monitoring and oxygen therapy are therefore not supported by scientific data. There is a need for further studies on the pathogenic mechanisms in myocardial ischaemia during endoscopy, and the influence of hypoxaemia on the outcome after upper and lower endoscopy should be clarified. |
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Authors:
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C Holm; J Rosenberg |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Endoscopy Volume: 28 ISSN: 0013-726X ISO Abbreviation: Endoscopy Publication Date: 1996 Oct |
Date Detail:
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Created Date: 1997-02-27 Completed Date: 1997-02-27 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0215166 Medline TA: Endoscopy Country: GERMANY |
Other Details:
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Languages: eng Pagination: 703-11 Citation Subset: IM |
Affiliation:
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Dept. of Surgical Gastroenterology, Hvidovre University Hospital, Denmark. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anoxia
/
etiology,
prevention & control* Arrhythmias, Cardiac / etiology, prevention & control Endoscopy, Gastrointestinal* / adverse effects, methods Humans Monitoring, Physiologic Myocardial Ischemia / etiology, prevention & control* Oximetry* Oxygen Inhalation Therapy* |
| Comments/Corrections | |
Comment In:
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Endoscopy. 1996 Oct;28(8):718-21
[PMID:
8934092
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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