| The changing faces of endoscopic sedation. | |
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MedLine Citation:
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PMID: 20678015 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The practice of sedation for digestive endoscopy continues to evolve throughout the world. In many countries, there is a trend for increased utilization of sedation during routine endoscopic procedures. Sedation improves patient satisfaction with endoscopy and the willingness to comply with screening guidelines and it improves the quality of examination. Moderate sedation, using a benzodiazepine and an opioid, remains the standard method of sedation in most areas of the world, although propofol, a short-acting hypnotic agent, is being used increasingly in some countries. Controversy regarding the feasibility of endoscopist-directed propofol administration continues, in spite of overwhelming evidence supporting this practice. In the USA, recent revisions in policy by the Centers for Medicare and Medicaid Services may threaten the practice of endoscopist-directed propofol administration. In this article, future trends in sedation practice, including fospropofol and computer-assisted personalized sedation, are discussed. |
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Authors:
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Brijen Shah; Lawrence B Cohen |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Expert review of gastroenterology & hepatology Volume: 4 ISSN: 1747-4132 ISO Abbreviation: Expert Rev Gastroenterol Hepatol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-08-03 Completed Date: 2010-11-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101278199 Medline TA: Expert Rev Gastroenterol Hepatol Country: England |
Other Details:
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Languages: eng Pagination: 417-22 Citation Subset: IM |
Affiliation:
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Mount Sinai School of Medicine, NY, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Analgesics, Opioid
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administration & dosage Benzodiazepines / administration & dosage Conscious Sedation* / adverse effects, methods, nursing Endoscopy, Gastrointestinal* Evidence-Based Medicine Humans Hypnotics and Sedatives / administration & dosage*, adverse effects Practice Guidelines as Topic Propofol / administration & dosage Risk Assessment |
| Chemical | |
Reg. No./Substance:
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0/Analgesics, Opioid; 0/Hypnotics and Sedatives; 12794-10-4/Benzodiazepines; 2078-54-8/Propofol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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