지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Purpose: This study was done to clarify effects of bispectral index monitoring sedative administration,compared to MOAA/S (Modified Observer's Assessment of Alertness and Sedation), on conscious sedation,physiological stability and recovery time for patients undergoing endoscopic submucosal dissection. Methods:Participants In this study were patients who underwent endoscopic submucosal dissection because of early gastric cancer. Participants were assigned randomly to an experimental group receiving sedatives based on bispectral index monitoring or to a control group with the MOAA/S instrument. Movements, belching,memory, pain, discomfort, physiological stability (MBP, PR, SpO2), and recovery time were measured during the treatment and recovery. Data were analyzed using Spearman partial correlation coefficient analysis, Mixed model and Wilcoxon rank sum test to determine differences in the parameters. Results: There were no statistically significant differences between the two groups for conscious sedation(movement, belching,memory, pain, or discomfort), physiological stability and recovery time. Conclusion: The results of this study indicate that no differences were found between the two types of monitoring. Thus, use of a bispectral index monitor in clinical practice enabling medical staff to readily assess the conscious sedation of for these patients is expected to be increasingly used as an objective assessment tool for conscious sedation for patient safety.
목차
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참고문헌 (20)
참고문헌 신청
Bower, A. L. / 2000 / Bispectral index monitoring of sedation during endoscopy / Gastrointestinal Endoscopy 52 (2) : 192 ~ 196
Chernik, D. A. / 1990 / Validity and reliability of the observer’s assessment of alertness/sedation scale: study with intravenous midazolam / Journal of Clinical Psychopharm
Etoh, T. / 2005 / Treatment of early gastric cancer in the elderly patient: Results of EMR and gastrectomy at a national referral center in Japan / Gastrointestinal Endoscopy
Hata, K. / 2009 / Usefulness of bispectral monitoring of conscious sedation during endoscopic mucosal dissection / World Journal of Gastroenterology 15 (5) : 595 ~ 598
Imagawa, A. / 2008 / Satisfaction with bispectral index monitoring of propofol-mediated sedation during endoscopic submucosal dissection: A prospective, randomized study / E
Chernik, D. A. / 1990 / Validity and reliability of the observer’s assessment of alertness/sedation scale: study with intravenous midazolam / Journal of Clinical Psychopharm
Etoh, T. / 2005 / Treatment of early gastric cancer in the elderly patient: Results of EMR and gastrectomy at a national referral center in Japan / Gastrointestinal Endoscopy
Hata, K. / 2009 / Usefulness of bispectral monitoring of conscious sedation during endoscopic mucosal dissection / World Journal of Gastroenterology 15 (5) : 595 ~ 598
Imagawa, A. / 2008 / Satisfaction with bispectral index monitoring of propofol-mediated sedation during endoscopic submucosal dissection: A prospective, randomized study / E
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