Gastrointestinal endoscopy
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Gastrointest. Endosc. · Jun 2008
Comparative StudyEfficiency of propofol versus midazolam and fentanyl sedation at a pediatric teaching hospital: a prospective study.
Many pediatric endoscopists are adopting propofol in their practices, with the expectation that propofol will increase their overall efficiency. ⋯ Anesthesiologist-administered propofol sedation in a pediatric teaching endoscopy unit may not lead to faster hospital times when compared with endoscopist-administered midazolam and fentanyl. These results are not explained by controlling for patient characteristics, the presence of a trainee, the sedative doses, or endotracheal intubation for airway management.
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Gastrointest. Endosc. · Jun 2008
Comparative StudyCost-effectiveness analysis of high-dose omeprazole infusion before endoscopy for patients with upper-GI bleeding.
The use of intravenous (i.v.) proton pump inhibitors (PPI) before an endoscopy in upper-GI bleeding (UGIB) was shown to reduce the need of endoscopic therapy and shorten hospital stay. ⋯ Preemptive use of IV PPI before an endoscopy is a cost-effective strategy in the management of UGIB.
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Although the role of bedside endoscopy for the provision of emergent diagnosis and therapy is well known, the concept of bedside EUS requires further validation. ⋯ Bedside EUS is technically feasible, safe, facilitates both diagnosis and therapy, and enables the clinical management of patients who are critically ill.