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Titolo:
EFFICACY, SAFETY, AND COST OF INTRAVENOUS SEDATION VERSUS GENERAL-ANESTHESIA IN CHILDREN UNDERGOING ENDOSCOPIC PROCEDURES
Autore:
SQUIRES RH; MORRISS F; SCHLUTERMAN S; DREWS B; GALYEN L; BROWN KO;
Indirizzi:
UNIV TEXAS,SW MED CTR,DIV GASTROENTEROL & NUTR,5323 HARRY HINES BLVD DALLAS TX 75235 UNIV TEXAS,SW MED CTR,DIV ANESTHESIA DALLAS TX 75235 CHILDRENS MED CTR,CTR PEDIAT GASTROENTEROL DALLAS TX 75235
Titolo Testata:
Gastrointestinal endoscopy
fascicolo: 2, volume: 41, anno: 1995,
pagine: 99 - 104
SICI:
0016-5107(1995)41:2<99:ESACOI>2.0.ZU;2-6
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER GASTROINTESTINAL ENDOSCOPY; PEDIATRIC-PATIENTS; MIDAZOLAM; COLONOSCOPY; PAIN; MEPERIDINE; DIAZEPAM;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
34
Recensione:
Indirizzi per estratti:
Citazione:
R.H. Squires et al., "EFFICACY, SAFETY, AND COST OF INTRAVENOUS SEDATION VERSUS GENERAL-ANESTHESIA IN CHILDREN UNDERGOING ENDOSCOPIC PROCEDURES", Gastrointestinal endoscopy, 41(2), 1995, pp. 99-104

Abstract

We prospectively evaluated 226 patients under 18 years of age who underwent 296 procedures, and intravenous sedation and general anesthesiawere compared in regard to efficacy, safety, and cost. Children 6 to 9 years of age required the highest doses of midazolam (0.14 +/- 0.04 mg/kg) and meperidine (2.5 +/- 0.8 mg/kg). A Relative Adequacy Scale, constructed to assess each patient's arousal and cooperation during intravenous sedation, revealed a 95% completion rate. Heart rate monitored before, during, and after the procedure was similar in both groups during the procedure, but a lower preprocedure heart rate was noted inolder patients having intravenous sedation, suggesting less patient anxiety. Average charges, excluding endoscopist's and pathology fees, were $768.52 in the intravenous sedation group versus $1,965.42 in the general anesthesia group. Endoscopic procedures can be performed safely, effectively, and at a lower cost to the patient under intravenous sedation in a properly equipped and staffed pediatric endoscopy suite.

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Documento generato il 02/07/20 alle ore 21:57:53