Sedation and Monitoring in the Pediatric Patient during Gastrointestinal Endoscopy.
Sedation and Monitoring in the Pediatric Patient during Gastrointestinal Endoscopy.
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DOI：
10.1016/j.giec.2016.02.004
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发表时间：
2016-07-01
影响因子：
--
通讯作者：
Lightdale, Jenifer R
中科院分区：
文献类型：
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作者：
Chung, Hyun Kee;Lightdale, Jenifer R
镇静是儿科胃肠手术的基本组成部分。儿科内窥镜检查的镇静主要有全身麻醉和手术镇静两种。虽然麻醉师给药的镇静方案更常见，但对于儿童的内窥镜检查，没有理想的方案。本文讨论了内窥镜检查的具体镇静水平以及可用于实现每一种镇静水平的各种方案。回顾了在儿童中实施胃肠道手术的风险和注意事项。最后，可能改变儿科胃肠病学实践和最终患者结局的镇静和监测的潜在未来方向被审查。
Sedation is a fundamental component of pediatric gastrointestinal procedures. The 2 main types of sedation for pediatric endoscopy remaingeneral anesthesia and procedural sedation. Although anesthesiologist-administered sedation protocols are more common, there is no ideal regimen for endoscopy in children. This article discusses specific levels of sedation for endoscopy as well as various regimens that can be used to achieve each. Risks and considerations that may be specific to performing gastrointestinal procedures in children are reviewed. Finally, potential future directions for sedation and monitoring that may change the practice of pediatric gastroenterology and ultimately patient outcomes are examined.