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Titolo:
PATIENT-CONTROLLED ANESTHESIA FOR COLONOSCOPY USING PROPOFOL - RESULTS OF A PILOT-STUDY
Autore:
HEIMAN DR; TOLLIVER BA; WEIS FR; OBRIEN BL; DIPALMA JA;
Indirizzi:
UNIV S ALABAMA,COLL MED,DIV GASTROENTEROL,2451 FILLINGIM ST,MASTIN BLDG,SUITE G MOBILE AL 36617 UNIV S ALABAMA,COLL MED,DIV GASTROENTEROL MOBILE AL 36617 UNIV S ALABAMA,COLL MED,DEPT ANESTHESIA MOBILE AL 36617
Titolo Testata:
Southern medical journal
fascicolo: 6, volume: 91, anno: 1998,
pagine: 560 - 564
SICI:
0038-4348(1998)91:6<560:PAFCUP>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER GASTROINTESTINAL ENDOSCOPY; INTRAVENOUS SEDATION; CONSCIOUS SEDATION; ALFENTANIL; MEPERIDINE; MIDAZOLAM; ANALGESIA; DIPRIVAN; SAFETY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
36
Recensione:
Indirizzi per estratti:
Citazione:
D.R. Heiman et al., "PATIENT-CONTROLLED ANESTHESIA FOR COLONOSCOPY USING PROPOFOL - RESULTS OF A PILOT-STUDY", Southern medical journal, 91(6), 1998, pp. 560-564

Abstract

Background. We studied the feasibility of using patient-controlled anesthesia (PCA) for conscious sedation during colonoscopy. Methods, Patients having elective colonoscopy had medications delivered in bolus fashion by PCA pump (Abbot Lifecare Provider 5500 Infusion System). Four patients received propofol as 20 mg/dose boluses, and four patients received propofol in a 0.3 mg/kg/dose, Twelve patients received propofol at 0.2 mg/kg/dose with alfentanil at 4 mu g/kg/dose. Results, Therewere no clinically unacceptable changes in continuously monitored blood pressure, pulse rate, EGG, or respiratory rate. There were no adverse effects from the sedation and no complications due to colonoscopy. Recovery time was rapid, but recall persisted in most subjects. Pain and overall discomfort in patients given propofol only were rated as moderate by most subjects. Conclusion. Patient-controlled anesthesia is feasible for use in endoscopic sedation. Propofol alone did not allow adequate pain relief, but propofol and alfentanil together seemed to provide good control of pain.

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Documento generato il 14/07/20 alle ore 01:20:42