- ชชนน มูลหล้า
- 281 ครั้ง
| ชื่อโครงการวิจัย/ชื่อเรื่อง | Anesthetic management for small bowel enteroscopy in a World Gastroenterology Organization Endoscopy Training Center |
|---|---|
| ชื่อนักวิจัย/ชื่อผู้แต่ง | Somchai Amornyotin |
| คำสำคัญ | Anesthetic management;Anesthetic technique;Complication;Developing country;Small bowel enteroscopy;Training center |
| หน่วยงาน | Department of Anesthesiology and Siriraj GI Endoscopy Center, Faculty of Medicine Siriraj Hospital, Mahidol University |
| ปีที่เผยแพร่ | 2562 |
| คำอธิบาย | AIM: To study the anesthetic management of patients undergoing small bowel enteroscopy in the World Gastroenterology Organization (WGO) Endoscopy Training Center in Thailand. METHODS: Patients who underwent small bowel enteroscopy during the period of March 2005 to March 2011 in Siriraj Gastrointestinal Endoscopy Center were retrospectively analyzed. The patients’ characteristics, pre-anesthetic problems, anesthetic techniques, anesthetic agents, anesthetic time, type and route of procedure and anesthesia-related complications were assessed. RESULTS: One hundred and forty-four patients underwent this procedure during the study period. The mean age of the patients was 57.6 ± 17.2 years, and most were American Society of Anesthesiologists (ASA) class Ⅱ (53.2%). Indications for this procedure were gastrointestinal bleeding (59.7%), chronic diarrhea (14.3%), protein losing enteropathy (2.6%) and others (23.4%). Hematologic disease, hypertension, heart disease and electrolyte imbalance were the most common pre-anesthetic problems. General anesthesia with endotracheal tube was the anesthetic technique mainly employed (50.6%). The main anesthetic agents administered were fentanyl, propofol and midazolam. The mean anesthetic time was 94.0 ± 50.5 min. Single balloon and oral (antegrade) intubation was the most common type and route of enteroscopy. The anesthesia-related complication rate was relatively high. The overall and cardiovascular-related complication rates including hypotension in the older patient group (aged ≥ 60 years old) were significantly higher than those in the younger group. CONCLUSION: During anesthetic management for small bowel enteroscopy, special techniques and drugs are not routinely required. However, for safety reasons anesthetic personnel need to optimize the patient’s condition. |
| ข้อมูลเพิ่มเติม | http://www.wjgnet.com/1948-5190office wjge@wjgnet.com doi:10.4253/wjge.v4.i5.189 |
| สาขาการวิจัย |
|
Anesthetic management for small bowel enteroscopy in a World Gastroenterology Organization Endoscopy Training Center is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Thailand License.
