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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 38 - 42 (5page)
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초록· 키워드
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Background/Aims: Propofol sedation for elderly patients during time-consuming endoscopic procedures is controversial.
Therefore, we investigated the safety of using propofol in elderly patients during upper gastrointestinal therapeutic endoscopy.
Methods: The medical records of 160 patients who underwent therapeutic endoscopic procedures under gastroenterologist- guided propofol sedation at a single institution were retrospectively reviewed. The subjects were divided into two groups: a younger group, patients <75 years old; and an elderly group, patients ≥75 years old. The two groups were compared with respect to the therapeutic regimen, circulatory dynamics, and presence/absence of discontinuation of propofol treatment. Results: Although the number of patients with liver dysfunction was higher in the elderly group, there were no other significant differences in the baseline characteristics, including the American Society of Anesthesiologists classification, between the elderly and younger groups. The average maintenance rate of continuous propofol infusion was lower in the elderly patients. No statistically significant differences were found in the occurrence of adverse events between the elderly and younger groups. None of the patients returned to a resedated state after the initial recovery from sedation. Conclusions: Gastroenterologist-guided propofol sedation in elderly patients can be safely achieved in the same manner as that in younger patients, even for timeconsuming upper gastrointestinal therapeutic endoscopic procedures.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Cohen LB / 2003 / Propofol for endoscopic sedation: a protocol for safe and effective administration by the gastroenterologist / Gastrointest Endosc 58 : 725 ~ 732
Cohen LB / 2004 / Moderate level sedation during endoscopy: a prospective study using low-dose propofol, meperidine/fentanyl, and midazolam / Gastrointest Endosc 59 : 795 ~
Cohen LB / 2006 / Endoscopic sedation in the United States: results from a nationwide survey / Am J Gastroenterol 101 : 967 ~ 974
Heuss LT / 2003 / Risk stratification and safe administration of propofol by registered nurses supervised by the gastroenterologist: a prospective observational study of more
Heuss LT / 2012 / Nonanesthesiologist-administered propofol sedation: from the exception to standard practice:sedation and monitoring trends over 20 years / Endoscopy 44 : 50
Cohen LB / 2004 / Moderate level sedation during endoscopy: a prospective study using low-dose propofol, meperidine/fentanyl, and midazolam / Gastrointest Endosc 59 : 795 ~
Cohen LB / 2006 / Endoscopic sedation in the United States: results from a nationwide survey / Am J Gastroenterol 101 : 967 ~ 974
Heuss LT / 2003 / Risk stratification and safe administration of propofol by registered nurses supervised by the gastroenterologist: a prospective observational study of more
Heuss LT / 2012 / Nonanesthesiologist-administered propofol sedation: from the exception to standard practice:sedation and monitoring trends over 20 years / Endoscopy 44 : 50
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60세 이상 환자에서 척추마취 동안 propofol을 이용한 진정 깊이 정도에 따른 수술 후 인지기능장애 발생
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