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Use of LMAⓇ GastroTM in esophagogastroduodenoscopy and endoscopy

机译:LMAⓇGastroTM在食管胃十二指肠镜和内窥镜检查中的应用

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摘要

With increasing complexity and duration of minimally invasive upper gastrointestinal (GI) endoscopy, the need for deep sedation or general anesthesia (GA) during these procedures has grown rapidly. Therefore, the ability to secure the airway while allowing an easy endoscopic access has also become more relevant. Sedation during esophagogastroduodenoscopy (EGD) is not risk-free. Deep sedation can occasionally turn into GA, particularly when propofol is used [ ]. Sometimes, deeply sedated patients may also have patient state index levels associated with GA. Deep sedation can potentially risk airway and respiratory compromise [ ]. In a retrospective analysis of 73,029 GI endoscopies, 72% of the peri-procedural cardiac arrests were associated with airway management [ ].
机译:随着微创上消化道(GI)内窥镜检查的复杂性和持续时间的增加,在这些过程中对深度镇静或全身麻醉(GA)的需求迅速增长。因此,在允许容易的内窥镜进入的同时固定气道的能力也变得更加重要。食管胃十二指肠镜检查(EGD)期间的镇静并非没有风险。深层镇静有时会变成GA,特别是在使用异丙酚的情况下[]。有时,镇静剂患者也可能具有与GA相关的患者状态指标水平。深度镇静可能会导致气道和呼吸系统受损[]。在对73,029例GI内镜检查的回顾性分析中,有72%的围手术期心脏骤停与气道管理相关[]。

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