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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
- 2016.1
- 수록면
- 47 - 55 (9page)
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초록· 키워드
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Background/Aims: The use of moderate to deep sedation for gastrointestinal endoscopic procedures has increased in Europe considerably. Because this level of sedation is a risky medical procedure, a number of international guidelines have been developed. This survey aims to review if, and if so which, quality aspects have been included in new sedation practices when compared to traditional uncontrolled sedation practices.
Methods: A questionnaire was sent to the National Associations of Nurse Anesthetists in Europe and the National Delegates of the European Section and Board of Anaesthesiology from January 2012 to August 2012.
Results: Huge variation in practices for moderate to deep sedation were identified between and within European countries in terms of safety, type of practitioners, responsibilities, monitoring, informed consent, patient satisfaction, complication registration, and training requirements. Seventy-five percent of respondents were not familiar with international sedation guidelines. Safe sedation practices (mainly propofol-based moderate to deep sedation) are rapidly gaining popularity.
Conclusions: The risky medical procedure of moderate to deep sedation has become common practice for gastrointestinal endoscopy. Safe sedation practices requiring adequate selection of patients, adequate monitoring, training of sedation practitioners, and adequate after-care, are gaining attention in a field that is in transition from uncontrolled sedation care to controlled sedation care.
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참고문헌 (37)
참고문헌 신청
Hirschowitz BI / 1958 / Demonstration of a new gastroscope, the fiberscope / Gastroenterology 35:50
Hirschowitz BI / 2000 / Endoscopy: 40 years since fiber optics. Any light at the end of the tunnel? / Dig Surg 17:115~117
Garborg KK / 2012 / Reduced pain during screening colonoscopy with an ultrathin colonoscope: a randomized controlled trial / Endoscopy 44:740~746
Dumonceau JM / 2010 / European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: non-anaesthesiologist administration of propofol for GI endoscopy / Eur J Anaesthesiol 27:1016~1030
Dumonceau JM / 2010 / European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: non-anesthesiologist administration of propofol for GI endoscopy / Endoscopy 42:960~974
Hirschowitz BI / 2000 / Endoscopy: 40 years since fiber optics. Any light at the end of the tunnel? / Dig Surg 17:115~117
Garborg KK / 2012 / Reduced pain during screening colonoscopy with an ultrathin colonoscope: a randomized controlled trial / Endoscopy 44:740~746
Dumonceau JM / 2010 / European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: non-anaesthesiologist administration of propofol for GI endoscopy / Eur J Anaesthesiol 27:1016~1030
Dumonceau JM / 2010 / European Society of Gastrointestinal Endoscopy, European Society of Gastroenterology and Endoscopy Nurses and Associates, and the European Society of Anaesthesiology Guideline: non-anesthesiologist administration of propofol for GI endoscopy / Endoscopy 42:960~974
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