对比内镜逆行胆瘤学 (ERCP) 的镇静方案:一个回顾性研究
1Department of Cardiopulmonary Rehabilitation, Shandong Provincial Third Hospital, No.12, Wuyingshan Middle Road, Jinan, Shandong, 250000, China.
Heliyon
|March 11, 2024
概括
普罗波和德克斯梅托米丁 (Pro-Dex) 镇静方案为内逆向胆瘤学术 (ERCP) 程序提供了更好的质量和更快的恢复. 虽然Pro-Dex显示出优势,但所有四种镇静方法都有类似的ERCP相关不良事件率.
科学领域:
- 胃肠病学 胃肠病学
- 麻醉学 麻醉学
- 临床药理学 临床药理学
背景情况:
- 透镜逆行胆瘤胆瘤学 (ERCP) 是一个重要的诊断和治疗程序.
- 在ERCP期间,有效的镇静对于患者的舒适性和程序的成功至关重要.
- 常见的镇静方案包括单独使用普罗波,普罗波和德克斯梅托米丁 (Pro-Dex),胺和普罗波 (Keto-Fol),以及普罗波和米达佐 (Pro-Mid).
研究的目的:
- 为了追溯比较ERCP期间使用的四种不同的镇静方案的安全性和有效性.
- 评估协议之间的患者康复,镇静水平和并发症率的差异.
主要方法:
- 在2018年至2021年期间,对600名接受ERCP的患者进行了回顾性分析.
- 根据内镜医生的偏好,患者接受了四种镇静方案之一.
- 收集的数据包括血液动力学参数,镇静水平 (兰赛镇静量表),恢复时间和并发症.
主要成果:
- 普罗德克斯 (Pro-Dex) 组表现出明显较低的普罗波福尔剂量和更快的恢复时间.
- 在四组中没有观察到呼吸抑郁,低血压或心衰竭的显著差异.
- 更高的身体质量指数 (BMI) 与更不利的结果的趋势有关.
结论:
- 与其他方案相比,Pro-Dex协议显示出优越的镇静质量和更快的恢复速度.
- 在研究的镇静方案中,没有发现与ERCP相关的不良事件的显著变化.
- 这些发现支持基于患者和内镜师因素的ERCP镇静协议的知情选择.
相关概念视频
01:26Endoscopic Procedures V: ERCP
227
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
227
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
84
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
84
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
115
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
115
01:28Endoscopic Procedures III: Video Capsule Endoscopy
146
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
146
01:25Endoscopic Procedures II: Colonoscopy
94
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
94
01:22Stages of General Anesthesia
437
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
437