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ชื่อโครงการวิจัย/ชื่อเรื่อง | Cardiorespiratory Complications During Moderate and Deep Sedation for Gastrointestinal Endoscopic Procedures |
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ชื่อนักวิจัย/ชื่อผู้แต่ง | Somchai Amornyotin |
เจ้าของผลงานร่วม | สมชาย อมรโยธิน |
คำสำคัญ | Cardiorespiratory;Complication;Moderate;Deep;Sedation;Gastrointestinal Endoscopy |
หน่วยงาน | Department of Anesthesiology and Siriraj GI Endoscopy Center, Faculty of Medicine Siriraj Hospital, Mahidol University |
ปีที่เผยแพร่ | 2562 |
คำอธิบาย | Although the serious adverse events are rare for the GIE procedural sedation. However, the cardiorespiratory-related complications are common. These complications may be severe if the physicians do not detect and treat the patients earlier. An adequate preprocedural history should be obtained and physical examination performed on all patients. Particular attention should be paid to the patient’s physical status and cardiorespiratory system. Appropriate preprocedural assessment and optimization of the patients undergoing moderate or deep sedation are essential to minimize complications. Periodical assessment of the level of sedation and continuous monitoring of cardiovascular and respiratory systems provides timely information. Pulse oxymetry and oxygen supplementation are recommended for the reduction of hypoxemia. Capnography monitoring is considered in the patients undergoing prolonged endoscopic procedures who are at risk of deep sedation. Additionally, the standardized discharge criteria should be used to determine the patient’s readiness for discharge. Lastly, the physicians should remember that the risk for unintended deeper level of sedation may be more common after the stimulation of the endoscopic procedure has been removed. |
ข้อมูลเพิ่มเติม | http://www.intechopen.com/books/endoscopy-of-gi-tract/cardiorespiratory-complications-during-moderate-and-deep-sedation-for-gastrointestinal-endoscopic-procedure |
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Cardiorespiratory Complications During Moderate and Deep Sedation for Gastrointestinal Endoscopic Procedures is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Thailand License.